Mamdou Abousamra, DPM Valid NPI
Individual provider · Foot & Ankle Surgery Podiatrist · Astoria, NY
- NPI
- 1700104056
- Type
- Individual (Type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist (Podiatrist)
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213ES0103X
- License number
- N006502 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2010-05-11
- Last updated
- 2019-12-31
Practice location
2519 30th Dr Ste 1l
Astoria, NY 11102-2701
(646) 421-9356