Samuel Akhnoukh, MD
Individual provider Active NPI Orthopaedic Surgery of the Spine Physician · Stony Brook, NY
NPI 1730767401 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1730767401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- 325542 (NY)
- Practice address
- 101 Nicolls Rd
Stony Brook, NY 11794-0001 - Phone
- (631) 689-8333
- NPI assigned
- Apr 1, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325542 | NY | MD | Orthopaedic Surgery of the Spine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 325542 | NY | Yes |
Addresses
Primary practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
101 Nicolls Rd
Stony Brook, NY 11794-0001
Other providers in Stony Brook, NY
- Suhyun Ahn
- Muhammad Ahsan
- Susan Aiello
- Danyaal Ain
- Krystal Danielle Airola
- Ehab Al Bizri
- Omer Ibrahim Mahdi Al Najafi
- Caesar Alaienia
- Mohammed Jahangir Alam
- Saamia Alam
All providers in Stony Brook, NY · Orthopaedic Surgery of the Spine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.