DR. SAMI KADDOURI (NPI# 1023177920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023177920 |
| Entity Type | Individual |
| Full Name | DR. SAMI KADDOURI |
| Credential | M.D. |
| Practice Address |
57 West 57th Streeet 18th Floor New York NY 10019 |
| Practice Telephone | 2127550200 |
| Practice Fax Number | 2127523287 |
| Mailing Telephone | 2127550200 |
| Mailing Fax Number | 2127523287 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
095828 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00095828 | 05 | |
| NY | LICENSE NUMBER | 095828 | 01 |
| Street Address |
57 WEST 57TH STREEET 18TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205467842 | Tara Healthcare LLC | Family Medicine | 157 Bleecker St # 1, New York, NY 10012-1625 | 2020-02-03 |
| 1881120376 | Yonina Mar | Family Medicine | 10 Nathan D. Perlman Pl, Msbi Psychiatry, Bernstein Pavilion, Room 7b15, New York, NY 10003 | 2017-05-03 |
| 1215050273 | Bruno Recupero | Family Medicine | 26 Avenue A, New York, NY 10009-7601 | 2007-04-06 |
| 1730207119 | Greenwich House Inc | Family Medicine | 122 West 27th Street, 6th Floor, New York, NY 10001 | 2007-03-26 |
| 1255442513 | Guy J Pean | Family Medicine | 177 E 122nd St, New York, NY 10035-2906 | 2006-08-31 |
| 1235176355 | Jayant H Gandhi | Family Medicine | 80 E End Ave, Suite -14b, New York, NY 10028-8004 | 2006-05-31 |
| 1932532710 | Annie Levesque | Family Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2013-08-15 |
| 1417183286 | Carter Franklin Dillman | Family Medicine | 30 Park Ave, 15n, New York, NY 10016-3801 | 2009-06-06 |
| 1831304609 | Sharon L Stancliff | Family Medicine | 8 E 3rd St, New York, NY 10003-8908 | 2007-05-14 |
| 1992820930 | Valsa Madhava | Family Medicine | 1824 Madison Ave, New York, NY 10035-3832 | 2007-03-20 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.