Individual provider · Type 1 NPI
Fady Samy
Student in an Organized Health Care Education/Training Program · Mystic, CT
NPI number
1982508545
Active
Practice location
25 Broadway Ave
Mystic, CT 06355-2834
Fax (860) 536-7492
Mailing address
145 Laurelwood Rd
Groton, CT 06340-4277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | PCI.0010347 (CT) |
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.
4 other providers at this address
About NPI 1982508545
Fady Samy's National Provider Identifier is 1982508545, issued on Oct 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mystic, CT. The record was last updated on Oct 6, 2026.