Individual
DANNIYA SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7000
Mailing address
299 SAVILLE RD, MINEOLA, NY 11501-1345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020665
NY
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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