MR. Sam Tarik Mendoune I, NP
NPI #1003597469 in Stony Brook, New York
Provider Information
- NPI Number
- 1003597469
- Entity Type
- Individual
- Name
- MR. Sam Tarik Mendoune I, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- NP
- Enumeration Date
- Jul 28, 2023
- Last Updated
- Sep 18, 2023
Practice Location
- Address
- 101 NICOLLS RD
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-0001
- Phone
- (631) 335-1657
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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