Individual
MRS. LEELAMMA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(718) 670-5000
Mailing address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(718) 670-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
261935
NY
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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