person
Mr. Sam Tarik Mendoune I, NP
Adult Health Nurse Practitioner in Stony Brook, New York
NPI 1003597469

Sam Tarik Mendoune I is an Adult Health Nurse Practitioner based in Ridge, NY and is specialized in Adult Health. Sam Tarik Mendoune I practices in Stony Brook, NY and has the professional credentials of NP. The NPI Number for Sam Tarik Mendoune I is 1003597469 and holds a License No. F311288 (New York).

The current practice location address for Sam Tarik Mendoune I is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-335-1657.

Location: 101 Nicolls Rd, Stony Brook, NY, 11961-2139
person
Provider Profile Details
NPI Number
1003597469
Provider Name
Sam Tarik Mendoune I
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Rd, Stony Brook, NY, 11961-2139
Phone Number
631-335-1657
Fax Number
Provider Enumeration Date
07/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
State
Zip
11794-0001
Phone Number
631-335-1657
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
State
Zip
11794-0001
Phone Number
631-335-1657
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F311288 (New York)
Definition
Definition to come...
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