Provider Demographics
NPI:1851155378
Name:JAFFREY, SAMIE
Entity Type:Individual
Prefix:DR
First Name:SAMIE
Middle Name:
Last Name:JAFFREY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E 77TH ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-2366
Mailing Address - Country:US
Mailing Address - Phone:347-746-0149
Mailing Address - Fax:
Practice Address - Street 1:400 E 77TH ST APT 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-2366
Practice Address - Country:US
Practice Address - Phone:347-746-0149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist