Provider Demographics
NPI:1063740751
Name:SAMMY G. NAKHLA, M.D., P.C.
Entity type:Organization
Organization Name:SAMMY G. NAKHLA, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMMY
Authorized Official - Middle Name:G
Authorized Official - Last Name:NAKHLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-686-7886
Mailing Address - Street 1:123 MIDDLE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937
Mailing Address - Country:US
Mailing Address - Phone:917-686-7886
Mailing Address - Fax:
Practice Address - Street 1:123 MIDDLE HWY
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-3813
Practice Address - Country:US
Practice Address - Phone:917-686-7886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245824-1207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty