Individual provider · Type 1 NPI

Sam Tarik Mendoune I, NP

Adult Health Nurse Practitioner · Stony Brook, NY

NPI number 1003597469 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Call (631) 335-1657 Map

Mailing address

50 Marc Dr
Ridge, NY 11961-2139

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	F311288 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1003597469

Sam Tarik Mendoune I, NP's National Provider Identifier is 1003597469, issued on Jul 28, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Sep 18, 2023.