Individual ProviderSami HamdanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York St, New Haven, CT 06510-3220(203) 688-4242PECOS EnrollmentBased on the most recent information from CMS, provider Sami Hamdan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1427511765Provider TypeIndividualFull NameHamdan, SamiGenderMaleSole ProprietorNoEnumeration Date4/12/2019Last Updated6/21/2023Contact InformationPractice LocationPractice Address20 York St, New Haven, CT 06510-3220Phone(203) 688-4242FaxUnlisted FaxMailing LocationMailing Address20 York St, New Haven, CT 06510-3220Phone(203) 688-4242FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense74074ConnecticutCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense279555Massachusetts