MAMDOU ABOUSAMRA (NPI# 1700104056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700104056 |
| Entity Type | Individual |
| Full Name | MAMDOU ABOUSAMRA |
| Credential | DPM |
| Practice Address |
2519 30th Dr Ste 1l Astoria NY 11102-2701 |
| Practice Telephone | 6464219356 |
| Mailing Telephone | 6464219356 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2019-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N006502 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2519 30TH DR STE 1L |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003324179 | Metroplus Podiatry Care PC | Podiatrist | 2519 30th Dr Ste 1l, Astoria, NY 11102-2701 | 2018-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942632443 | D&d Podiatry, P.C. | Podiatrist | 23-18 Broadway, Astoria, NY 11106 | 2013-08-07 |
| 1467705194 | Astoria Foot and Ankle Surgery | Podiatrist | 22-02 Steinway Street, Astoria, NY 11105 | 2012-10-18 |
| 1982906723 | Jose Paul Loor | Podiatrist | 2308 Newtown Ave, Apt 2fe, Astoria, NY 11102-3009 | 2010-11-30 |
| 1457683104 | All County Foot and Ankle LLP | Podiatrist | 28-56 A 41st Street, 2fl, Astoria, NY 11103-3301 | 2010-02-05 |
| 1023186574 | Ioanis Arapidis | Podiatrist | 2252 33rd St, Astoria, NY 11105-2403 | 2006-12-01 |
| 1831157049 | Eugene Young Kim | Podiatrist | 3117 Ditmars Blvd, Astoria, NY 11105-2300 | 2006-05-04 |
| 1083698963 | Roger Adam Hans | Podiatrist | 3116 30th Ave, Suite#203, Astoria, NY 11102-1545 | 2005-12-03 |
| 1477555415 | Ovidio Joseph Falcone | Podiatrist | 3501 30th Ave, Astoria, NY 11103-4662 | 2005-08-10 |
| 1255757241 | Lady Paula Dejesus, Dpm, P.C. | Podiatrist | 23-18 Broadway, Astoria, NY 11106 | 2014-03-14 |
| 1255754917 | Ideal Foot Care PC | Podiatrist | 3116 30th Ave, Suite 203, Astoria, NY 11102-1571 | 2014-01-30 |
| Find all providers in ASTORIA | ||||
Please comment or provide details below to improve the information on MAMDOU ABOUSAMRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.