Individual
BEENA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 BIRCH DR, NEW HYDE PARK, NY 11040-2321
(917) 288-0446
Mailing address
139 BIRCH DR, NEW HYDE PARK, NY 11040-2321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
614254
NY
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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