Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gabriel Samandarov

Individual provider Surgical Physician Assistant · NPI 1154795425

Gabriel Samandarov is a Surgical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

95 University Pl
New York, NY 10003-4515
Phone: (212) 604-1367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0189721 (NY)

Record details

NPI number1154795425
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2015
Last updated in NPPESNovember 24, 2015

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