Most Relevant Information
Provider Data
| NPI Number: | 1003213877 |
| Provider Name: | PUSHKINDER SAMRAO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/22/2014 |
| Last Updated: | 12/15/2021 |
Provider Practice Location
7163 166TH ST
FL 2
FRESH MEADOWS
NY
113653235
Practice Location Phone/Fax
| Phone: | 7188833000 |
| Fax: |
Provider Mailing Location
7163 166TH ST
FL 2
FRESH MEADOWS
NY
113653235
Provider Mailing Phone/Fax
| Phone: | 7188833000 |
| Fax: |