Individual
DR. RISA CHERYL SAMUELS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
61-17 220TH ST, OAKLAND GARDENS, NY 11364-2244
(718) 225-3050
(718) 225-5609
Mailing address
61-17 220TH ST, OAKLAND GARDENS, NY 11364-2244
(718) 225-3050
(718) 225-5609
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
040378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01180501
—
NY
Enumeration date
03/23/2006
Last updated
07/08/2007
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