Mebrahtu, Samson
Mebrahtu, Samson is an individual health care provider with primary practice located at 280 Montauk Hwy , Bay Shore NY 11706-8403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mebrahtu, Samson can be contacted via phone (631) 758-4444.Contact Information
Primary practice address
280 Montauk Hwy
Bay Shore NY 11706-8403
Phone: (631) 758-4444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 177795 | New York |
Profile Details
| NPI number | 1528030277 |
|---|---|
| LBN Legal business name | Mebrahtu, Samson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jan 25th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528030277 | NPPES |
| New York | MEDICAID | 01340981 |
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