Individual
DR. SAM JAYANTH SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2223 W STATE ST, OLEAN, NY 14760-1938
(716) 372-5601
Mailing address
8520 STAHLEY RD, EAST AMHERST, NY 14051-1540
(716) 636-5651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233868
NY
207RG0100X
Gastroenterology Physician
Primary
233868
NY
207RG0100X
Gastroenterology Physician
MD-22219
HI
Other
Enumeration date
07/01/2008
Last updated
08/13/2025
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