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Individual

MARYIA SAMUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21451 JAMAICA AVE, JAMAICA, NY 11428-1733
(917) 806-1520
Mailing address
6724 SELFRIDGE ST, FOREST HILLS, NY 11375-5739

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
757102
NY

Other

Enumeration date
08/06/2025
Last updated
08/06/2025
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