Provider Demographics
NPI:1437481744
Name:SUFFOL PULMONARY AND SLEEP DISORDERS
Entity Type:Organization
Organization Name:SUFFOL PULMONARY AND SLEEP DISORDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:T
Authorized Official - Last Name:SAMEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-675-9393
Mailing Address - Street 1:PO BOX 467
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-0467
Mailing Address - Country:US
Mailing Address - Phone:631-675-9393
Mailing Address - Fax:631-675-9391
Practice Address - Street 1:3400 NESCONSET HWY
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3327
Practice Address - Country:US
Practice Address - Phone:631-675-9393
Practice Address - Fax:631-675-9391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214732174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty