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Individual

ANN MARIE SAMUELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSC (SPECIAL ED)

Contact information

Practice address
17930 144TH RD, JAMAICA, NY 11434-5950
(718) 527-3561
Mailing address
17930 144TH RD, JAMAICA, NY 11434-5950
(718) 527-3561

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
900B
NY

Other

Enumeration date
06/18/2012
Last updated
06/18/2012
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