Individual
BLESSY SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
228 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
(929) 437-6161
(888) 501-6628
Mailing address
17 SULLIVAN DR, JERICHO, NY 11753-1936
(516) 870-9316
(718) 441-6058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342542-1
NY
Other
Enumeration date
09/27/2018
Last updated
05/21/2020
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