Provider Demographics
NPI:1861746562
Name:ENGEL, SAMUEL SAUL (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:SAUL
Last Name:ENGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E END AVE
Mailing Address - Street 2:APT 5J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 E END AVE
Practice Address - Street 2:APT 5J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1106
Practice Address - Country:US
Practice Address - Phone:212-535-1705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140324207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism