Individual provider · Type 1 NPI

Samuel David Fam, DO

Family Medicine Physician · New York, NY

NPI number 1104211986 Active

Practice location

1790 Broadway Ste 1802
New York, NY 10019

Call (212) 530-0624 Map

Fax (212) 867-4353

Other practice locations

  • 2301 Erwin Rd, Durham, NC 27705-4699 · (919) 684-8111
  • 260 W Broadway Ste 2, New York, NY 10013-2260 · (212) 206-6759

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X1015332 (MA)
Family Medicine Physician 207Q00000X87745 (GA)
Family Medicine Physician 207Q00000XV1769 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X295422 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104211986

Samuel David Fam, DO's National Provider Identifier is 1104211986, issued on Mar 30, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in New York, NY. The record was last updated on Apr 11, 2025.