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DR. SAMUEL ALLADO BANGUG MD NPI 1255420345


NPI Information

NPI: 1255420345
Provider Name: DR. SAMUEL ALLADO BANGUG, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
17013 HILLSIDE AVE
JAMAICA, NY
ZIP 11432
Phone: (718) 657-2706
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DR. Samuel Allado Bangug, MD is a pediatrics in Jamaica, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Samuel Allado Bangug, MD NPI is 1255420345. 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:

17013 HILLSIDE AVE
JAMAICA, NY
ZIP 11432-546
Phone: (718) 657-2706
Fax: (718) 657-2420

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics235683NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102194883MEDICAIDNEW YORK

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: 4/28/2024

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