SAMUEL BAVLI

FAR ROCKAWAY, NY
NPI1902917776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: NY  109310-1)
Additional Taxonomies207RH0005X Internal Medicine, Hypertension Specialist
(Licence: NY  109310)
Enumeration Date2006-08-31
Last Update Date2013-05-20
Business Address
-- SAMUEL BAVLI MD
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7315
Mailing Address
-- SAMUEL BAVLI MD
327 BEACH 19TH ST DEPT. OF MEDICINE
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7315