Individual provider · Type 1 NPI

Samuel Bytnar Fordyce, MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1023696762 Active

Practice location

506 6th St
Brooklyn, NY 11215-3609

Call (718) 780-3000 Map

Mailing address

528 Warren St Apt 1
Albany, NY 12208-3214

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023696762

Samuel Bytnar Fordyce, MD's National Provider Identifier is 1023696762, issued on Apr 1, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 1, 2021.