Master, Samuel

Master, Samuel is an individual health care provider with primary practice located at 622 West 168Th St Vc4, New York NY 10032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Master, Samuel can be contacted via phone (212) 342-3233.

Contact Information

Primary practice address
622 West 168Th St Vc4 New York NY 10032
Phone: (212) 342-3233
Fax: (212) 342-4733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OT016663 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 294447 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 294447 New York

Profile Details

NPI number 1720468408
LBN Legal business name Master, Samuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2015
Last updated Dec 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720468408 NPPES
Pennsylvania MEDICAID 22-2540851

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