Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 240558 | NY |
Y | 207RP1001X | Pulmonary Disease | 240558 | NY |
N | 207RS0012X | Sleep Medicine | 240558 | NY |
NPI | 1003089673 |
---|---|
Provider Name | Dr. Sam Davidoff |
First Address | Amityville, NY 11701-2709 |
Second Address | Amityville, NY 11701-2709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2008 |
Last Update Date | 09/05/2013 |