Provider Demographics
NPI:1215774492
Name:AL-SAMRRAI MEDICAL SERVICES PLLS
Entity type:Organization
Organization Name:AL-SAMRRAI MEDICAL SERVICES PLLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-SAMRRAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-594-2428
Mailing Address - Street 1:208 EAST 84TH STREET 4A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:917-594-2428
Mailing Address - Fax:
Practice Address - Street 1:315 MADISON AVE BSMT 99
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:917-359-0873
Practice Address - Fax:329-202-9930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-13
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service