Mamdou Abousamra, DPM
Podiatrist, Foot & Ankle Surgery in Astoria, NY. Individual provider (NPI-1).
NPI number1700104056
StatusActive
Last updated in NPPESDec 31, 2019
Details
- NPI
- 1700104056
- Entity type
- Individual (NPI-1)
- Name
- Mamdou Abousamra
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2010
- Certification date
- Dec 31, 2019
- Last updated
- Dec 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | N006502 | NY | Yes |
Practice location
2519 30th Dr Ste 1lAstoria, NY 11102-2701
Phone 646-421-9356
Mailing address
2519 30th Dr Ste 1lAstoria, NY 11102-2701
Phone 646-421-9356
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- Roger Adam Hans, DPMNPI 1083698963
All 17 Foot & Ankle Surgery Podiatrist providers in Astoria · All 2,994 providers in Astoria
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