Individual
DR. SANJAY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 637-3131
(585) 395-6036
Mailing address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 637-3131
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
254678
NY
208D00000X
General Practice Physician
Primary
254678
NY
Other
Enumeration date
09/02/2009
Last updated
09/13/2017
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