SAM TARIK MENDOUNE

STONY BROOK, NY
NPI1003597469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F311288)
Enumeration Date2023-07-28
Last Update Date2023-09-18
Business Address
Mr. SAM TARIK MENDOUNE NP
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-335-1657
Mailing Address
Mr. SAM TARIK MENDOUNE NP
50 MARC DR
RIDGE, NY 11961-2139
Phone number: 631-335-1657
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