Liz Sam is a Physician Assistant in Bronx, New York. Liz Sam practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Liz Sam is 1922289180. The last update date is 2016-09-16.
Liz Sam's current location address is 111 E 210th St, Bronx, New York. You can contact this provider via phone number 7189043333. The mailing address for Liz Sam is 111 E 210th St, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Liz Sam |
|---|---|
| Address | 111 E 210th St, Bronx, New York |
| Phone Number | 7189043333 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1922289180 |
|---|---|
| Provider Enumeration Date | 2007-11-16 |
| Last Updated Date | 2016-09-16 |
Provider Mailing Address Detail
| Address | 111 E 210th St |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104672401 |
| Phone Number | 7189043333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 12104 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Liz Sam by the Centers for Medicare & Medicaid Services?
The Liz Sam has been assigned the NPI (National Provider Identifier) 1922289180 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Liz Sam?
The Liz Sam is situated at 111 E 210Th St, in the city of Bronx, state of NY, with the zip code 104672401.
What is the Liz Sam's specialty and taxonomy code?
The Liz Sam's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Liz Sam receive its 1922289180 assignment from the Centers for Medicare & Medicaid Services?
The Liz Sam was assigned its 1922289180 on 2007-11-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Liz Sam's information last updated?
The Liz Sam's information was last updated on 2016-09-16.