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

Mamdou Abousamra, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1700104056

Mamdou Abousamra, DPM is a Podiatry in Astoria, New York. Graduated from New York College of Podiatric Medicine in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2010
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2519 30th Dr Ste 1L
Astoria, NY 11102-2701
Phone: (646) 421-9356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence N006502 (NY)

Record details

NPI number1700104056
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 11, 2010
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing address2519 30th Dr Ste 1l, Astoria, NY 11102-2701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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