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1245595602
SAMIR SAMUEL BOUTROS
BROOKLYN, NY
NPI
1245595602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 004090)
Enumeration Date
2012-07-11
Last Update Date
2012-07-11
Business Address
Dr. SAMIR SAMUEL BOUTROS MD
2400 LINDEN BLVD
BROOKLYN, NY 11208-4830
Phone number: 718-257-5800
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Mailing Address
Dr. SAMIR SAMUEL BOUTROS MD
13935 COOLIDGE AVE
BRIARWOOD, NY 11435-1118
Phone number: 718-216-3166
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