Provider Demographics
NPI:1356518286
Name:CHURGIN, SAMARA SPRING (MD)
Entity type:Individual
Prefix:DR
First Name:SAMARA
Middle Name:SPRING
Last Name:CHURGIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:400 W MAIN ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3012
Mailing Address - Country:US
Mailing Address - Phone:631-661-0202
Mailing Address - Fax:631-661-0559
Practice Address - Street 1:400 W MAIN ST
Practice Address - Street 2:SUITE 120
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3012
Practice Address - Country:US
Practice Address - Phone:631-661-0202
Practice Address - Fax:631-661-0559
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2017-02-03
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Provider Licenses
StateLicense IDTaxonomies
NY240889208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery