THE LIGHT MEDICAL, PC
Medical Practice at Canal St, New York, NY

License number
New York 221203
Category
Medical Practice
Type
Specialist
Owner
Name: DR. ASHRAF SAMAAN MD
Title: OWNER
Phone: (212) 874-3384
Address
Address 2
254 Canal St SUITE 5001, New York, NY 10013
15 Leonello Ln, Staten Island, NY 10307
National Provider ID: 1619265998
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THE LIGHT MEDICAL PC

Staten Island, NY

Industry:
Medical Doctor's Office
Doing business as:
The Light Medical P C
Registration:
Aug 7, 2007
Phone:
(917) 656-2872 (Phone)
Addresses:
C/O Ashraf Samaan 15 Leonello Ln, Staten Island, NY 10307 (Physical)
15 Leonello Ln, Staten Island, NY 10307 (Physical)
State ID:
3552784
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Chief Executive Officer, Principal, Medical Doctor:
Ashraf Samaan Chief Executive Officer, Principal, Medical Doctor, inactive, 15 Leonello Ln, Staten Island, NY 10307 (Physical)

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