Individual
DR. DARALYN SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 JOHNSON AVE, BRONX, NY 10463-4925
(347) 978-1630
Mailing address
2500 JOHNSON AVE, BRONX, NY 10463-4925
(347) 978-1630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
189289-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01761577
—
NY
01
—
1457827
UNITED
—
01
—
554858
EBCBS
—
01
—
P608526
OXFORD
NY
Enumeration date
12/15/2006
Last updated
08/27/2020
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