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Individual
SAMUEL MICHAEL
Active
Individual
SAMUEL MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
654383
NY
363LF0000X
Family Nurse Practitioner
Primary
F339919-1
NY
Other
Enumeration date
03/20/2017
Last updated
06/20/2025
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