Provider Demographics
NPI:1114999869
Name:LAMOUSE-SMITH, ESI SAMA NATYA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ESI SAMA
Middle Name:NATYA
Last Name:LAMOUSE-SMITH
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Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS, PH17-105G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-342-5903
Mailing Address - Fax:212-342-5756
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS, PH17-105G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-342-5903
Practice Address - Fax:212-342-5756
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2013-07-18
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Provider Licenses
StateLicense IDTaxonomies
NY2287932080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology