Provider Demographics
NPI:1952084907
Name:SAM, ARUN C (GENETIC COUNSELOR)
Entity Type:Individual
Prefix:MR
First Name:ARUN
Middle Name:C
Last Name:SAM
Suffix:
Gender:M
Credentials:GENETIC COUNSELOR
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Mailing Address - Street 1:1764 MAURICE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1635
Mailing Address - Country:US
Mailing Address - Phone:516-633-5653
Mailing Address - Fax:
Practice Address - Street 1:4 SMITH HAVEN MALL
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-1219
Practice Address - Country:US
Practice Address - Phone:631-444-2790
Practice Address - Fax:631-444-4784
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS