Packer, Samuel
Packer, Samuel is an individual health care provider with primary practice located at 972 Brush Hollow Rd , Westbury NY 11590-1740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Packer, Samuel can be contacted via phone (516) 876-5555.Contact Information
Primary practice address
972 Brush Hollow Rd
Westbury NY 11590-1740
Phone: (516) 876-5555
Fax: (516) 873-1246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 099520 | New York |
Profile Details
| NPI number | 1528141942 |
|---|---|
| LBN Legal business name | Packer, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1528141942 | NPPES |
| New York | MEDICAID | 00246075 |
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