Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 262950 | NY |
N | 208600000X | Surgeon | 262950 | NY |
Y | 2086S0102X | Surgical Critical Care | 262950 | NY |
N | 2086S0102X | Surgical Critical Care | MT203211 | PA |
NPI | 1124361019 |
---|---|
Provider Name | Dr. Amir Samir Zakhary Gendy |
First Address | South Richmond Hill, NY 11419-1023 |
Second Address | South Richmond Hill, NY 11419-1023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2013 |
Last Update Date | 15/03/2019 |