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1700104056
MAMDOU ABOUSAMRA
ASTORIA, NY
NPI
1700104056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NY N006502)
Enumeration Date
2010-05-11
Last Update Date
2019-12-31
Business Address
MAMDOU ABOUSAMRA DPM
2519 30TH DR STE 1L
ASTORIA, NY 11102-2701
Phone number: 646-421-9356
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Mailing Address
MAMDOU ABOUSAMRA DPM
2519 30TH DR STE 1L
ASTORIA, NY 11102-2701
Phone number: 646-421-9356
Copy
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