Individual provider · NPI-1

Samuel Baskharoun, MD

Internal Medicine · Mineola, NY

NPI number1912521386
StatusActive
Last updated in NPPESJun 22, 2025

Details

NPI
1912521386
Entity type
Individual (NPI-1)
Name
Samuel Baskharoun
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 2, 2020
Certification date
Jun 22, 2025
Last updated
Jun 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine337934NYYes

Practice location

259 1st St
Mineola, NY 11501-3957

Phone 516-663-0333

Mailing address

4 Piper Dr
Albertson, NY 11507-1505

Phone 516-724-3850

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