Javier A Samudio is a Dentist in Far Rockaway, New York. Javier A Samudio practices all healthcare services and medical treatments related to Dentist. The NPI Number for Javier A Samudio is 1679534895. The last update date is 2012-10-02.
Javier A Samudio's current location address is 1847 Mott Ave Fl 2, Far Rockaway, New York. You can contact this provider via phone number 7183277000 and fax number 7184712071. The mailing address for Javier A Samudio is 1847 Mott Ave Fl 2, Far Rockaway, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Javier A Samudio |
|---|---|
| Address | 1847 Mott Ave Fl 2, Far Rockaway, New York |
| Phone Number | 7183277000 |
| Fax Number | 7184712071 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1679534895 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2012-10-02 |
Provider Mailing Address Detail
| Address | 1847 Mott Ave Fl 2 |
|---|---|
| City | Far Rockaway |
| State | New York (NY) |
| Post Code | 116914201 |
| Phone Number | 7183277000 |
| Fax Number | 7184712071 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 44530 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1400191 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Javier A Samudio?
The Javier A Samudio has been issued the NPI (National Provider Identifier) 1679534895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Javier A Samudio is physically located?
The Javier A Samudio is physically situated at the following address: 1847 Mott Ave Fl 2, Far Rockaway, NY, 116914201.
What is the area of specialization for Javier A Samudio, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Javier A Samudio is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679534895 to Javier A Samudio?
The Centers for Medicare & Medicaid Services assigned the 1679534895 to Javier A Samudio on 2006-03-29.
As of what date were the details pertaining to Javier A Samudio last refreshed?
The information related to the Javier A Samudio, including its address, specialty, and other relevant details, was last updated on 2012-10-02.