Individual
DR. BLOSSOM PATRICIA SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 OREGON RD, CORTLANDT MANOR, NY 10567-1232
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
290512
NY
208100000X
Physical Medicine & Rehabilitation Physician
64492
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04851709
—
NY
Enumeration date
04/04/2013
Last updated
11/24/2025
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