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Samuel Theagene, MD
NPI 1518928167 · on the registry since 2006
Practice
- Address
- 22422 Merrick Blvd
Laurelton, NY 11413 - Phone
- (347) 270-8353
- Fax
- (347) 826-1917
- Organisation at this address
- Golden Acupuncture, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 2081P2900X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York