| Organization Name: | SAMARA SPRING CHURGIN MEDICAL DOCTOR PROFESSIONAL CORPORATION |
| NPI Number: | 1063712834 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMARA SPRING CHURGIN (PRESIDENT) |
| Mailing Address: | 661 Deer Park Ave Babylon |
| State: | NY US |
| Postal Code: | 117021300 |
| Phone Number: | 6316610202 |
| Fax Number: | 6316610559 |
| NPI Enumeration Date: | 10/27/2010 |
| NPI Last Update Date: | 10/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 240889 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |