GABRIEL SAMANDAROV NPI 1154795425

NPI Information

  • NPI: 1154795425
  • Provider Name: GABRIEL SAMANDAROV
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 95 UNIVERSITY PL
    NEW YORK, NY
    ZIP 10003
  • Phone: (212) 604-1367

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NPI Details

Gabriel Samandarov is a surgical physician assistant in New York, NY. Gabriel Samandarov NPI is 1154795425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

95 UNIVERSITY PL
NEW YORK, NY
ZIP 10003-515
Phone: (212) 604-1367

The enumeration date for this NPI number is 11/24/2015 and was last updated on 11/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical0189721NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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