Individual provider · Type 1 NPI

Samuel Alfred Shahidi, M.S., PA-C

Surgical Physician Assistant · Bronx, NY

NPI number 1922314632 Active

Practice location

234 E 149th St
Bronx, NY 10451-5504

Mailing address

515 Lindberg Ave
Cliffside Park, NJ 07010-2203

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X014108 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1922314632

Samuel Alfred Shahidi, M.S., PA-C's National Provider Identifier is 1922314632, issued on Aug 19, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Aug 19, 2010.