Dmitry V Samsonov
MD | Pediatric Nephrology | Male
Dmitry V Samsonov, MD is a Hawthorne, New York based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Dmitry V Samsonov is
19 Bradhurst Ave, Ste 1400, Hawthorne, New York - 10532-2140. He can be contacted on phone at
914-493-7583 and fax number 914-594-4011.
Dmitry V Samsonov is a sole proprietor of his business.
NPI number (Unique professional ID) for Dmitry V Samsonov is
1356595862 which was assigned by NPPES on 11 Nov, 2008 and it was last updated on 23 Jul, 2013.
Dmitry V Samsonov license number is
269800 for Pediatrics Pediatric Nephrology (2080P0210X) in New York.
Dmitry V Samsonov deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Dmitry V Samsonov basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Dmitry V Samsonov |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dmitry V Samsonov address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 19 Bradhurst Ave, Ste 1400
Hawthorne, NY, 10532-2140
United States |
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| Phone Number : | 914-493-7583 |
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| Fax Number : | 914-594-4011 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356595862 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Nov, 2008 |
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| Last Updated On : | 23 Jul, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dmitry V Samsonov are as mentioned. Primary taxonomy code for Dmitry V Samsonov, MD is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0210X | Pediatrics Pediatric Nephrology | No | 003556 | NY |
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | 269800 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dmitry V Samsonov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 03266039 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1020
Hawthorne, NY, 10532-7507
United States |
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| Phone Number : | 914-493-7583 |
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| Fax Number : | 914-594-4011 |
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Business Location:
Patients can refer following map for directions to
Dmitry V Samsonov practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.