Fady Samy
Student in an Organized Health Care Education/Training Program in Mystic, CT. Individual provider (NPI-1).
NPI number1982508545
StatusActive
Last updated in NPPESOct 6, 2026
Details
- NPI
- 1982508545
- Entity type
- Individual (NPI-1)
- Name
- Fady Samy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2026
- Certification date
- Oct 6, 2026
- Last updated
- Oct 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | PCI.0010347 | CT | Yes |
Practice location
25 Broadway AveMystic, CT 06355-2834
Phone 860-536-5635 · Fax 860-536-7492
Mailing address
145 Laurelwood RdGroton, CT 06340-4277
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