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Samuel David Fam, DO
Student in an Organized Health Care Education/Training Program in New York, New York
NPI 1104211986

Samuel David Fam is a Student in an Organized Health Care Education/Training Program based in New York, NY. Samuel David Fam practices in New York, NY and has the professional credentials of DO. The NPI Number for Samuel David Fam is 1104211986 and holds a License No. 295422 (New York).

The current practice location address for Samuel David Fam is 1790 Broadway Ste 1802, New York, NY and can be reached out via phone at 212-530-0624 and via fax at 212-867-4353.

Location: 1790 Broadway Ste 1802, New York, NY, 10019-1471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104211986
Provider Name
Samuel David Fam
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1790 Broadway Ste 1802, New York, NY, 10019-1471
Phone Number
212-530-0624
Fax Number
212-867-4353
Provider Enumeration Date
03/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1790 Broadway Ste 1802
City
New York
State
New York
Zip
10019
Phone Number
212-530-0624
Fax Number
212-867-4353
person
Provider Business Mailing Address Details
Address
1790 Broadway Ste 1802
City
New York
State
New York
Zip
10019
Phone Number
212-530-0624
Fax Number
212-867-4353
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
295422 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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