Rafaelita B Samala M.D.

NPI 1124100268 - Anesthesiology - 207L00000X

NPI Details
NPI 1124100268
Gender Female
Enumeration Date 10/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3609 MAIN ST
SUITE 201
FLUSHING NY, 11354-6504, US
Phone (718) 321-7558
Fax
Business Location
PO BOX 270
MASSAPEQUA PARK NY, 11762-0270, US
Phone (631) 264-2035
Fax (631) 264-1418
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 141778
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According to our database, Rafaelita B Samala M.D. NPI is 1124100268, taxonomy code is 207L00000X and license number is 141778, license state is located at New York. Rafaelita B Samala M.D. physically located at 3609 Main St, Flushing NY, 11354-6504. NPI Number Rafaelita B Samala M.D. has the Individual type.

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1124100268 NPI number is provided on an as is basis without warranty of any kind. 1124100268 is maintained by the National Plan & Provider Enumeration System. The contents of Rafaelita B Samala M.D. are for informational purposes only.