Samson Wiseman in Bronx - Cardiovascular Disease

Samson Wiseman - NPI 1588761316

Samson Wiseman is a Cardiovascular Disease in Bronx, New York. Samson Wiseman practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Samson Wiseman is 1588761316. The last update date is 2013-06-19.

Samson Wiseman's current location address is 3201 Grand Concourse, Bronx, New York. You can contact this provider via phone number 7189332244 and fax number 7183650657. The mailing address for Samson Wiseman is 3201 Grand Concourse, Bronx, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Samson Wiseman
Address 3201 Grand Concourse, Bronx, New York
Phone Number 7189332244
Fax Number 7183650657
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1588761316
Provider Enumeration Date 2006-09-20
Last Updated Date 2013-06-19

Provider Mailing Address Detail

Address 3201 Grand Concourse
City Bronx
State New York (NY)
Post Code 104681247
Phone Number 7189332244
Fax Number 7183650657

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 216453
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2164469 NY --

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FAQs about Samson Wiseman

What is the Samson Wiseman's 1588761316?

The Samson Wiseman's NPI (National Provider Identifier) Number is 1588761316. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Samson Wiseman?

The Samson Wiseman is situated at 3201 Grand Concourse, in the city of Bronx, state of NY, with the zip code 104681247.

What is the Samson Wiseman's specialty and taxonomy code?

The Samson Wiseman's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1588761316 to Samson Wiseman?

The Centers for Medicare & Medicaid Services originally issued the 1588761316 to Samson Wiseman on 2006-09-20.

As of what date was the information regarding Samson Wiseman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Samson Wiseman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-06-19.

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