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

Samuel Lidsky

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952107054

Samuel Lidsky is a Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2025
Specialties on file
2

Practice location Address checks out

300 N Ingalls St Bldg NI4C06
Ann Arbor, MI 48109-0400
Phone: (845) 803-4788
Show map & directions

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

Additional practice locations (1)

  • 2701 Homestead Rd Apt 1102, Chapel Hill, NC 27516-8758 — (845) 803-4788

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4351054156 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952107054
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2025
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address300 N Ingalls St Bldg Ni4c06, Ann Arbor, MI 48109-0400

Other providers in Ann Arbor