Provider Demographics
NPI:1275713927
Name:MUHLRAD, SAMANTHA ILANA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:ILANA
Last Name:MUHLRAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAMANTHA
Other - Middle Name:
Other - Last Name:MUHLRAD-KARP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:DEPARTMENT OF ORTHOPAEDICS HSC T18
Mailing Address - Street 2:STONY BROOK UNIVERSITY MEDICAL CENTER, SUNY STONY BROOK
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8181
Mailing Address - Country:US
Mailing Address - Phone:631-444-1471
Mailing Address - Fax:
Practice Address - Street 1:14 TECHNOLOGY DR
Practice Address - Street 2:STONY BROOK ORTHOPAEDIC ASSOCIATES
Practice Address - City:SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3472
Practice Address - Country:US
Practice Address - Phone:631-444-4233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-10
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230757207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery