Individual
ALEXIS SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2330 DUTCH BROADWAY, ELMONT, NY 11003-3508
(516) 592-9039
Mailing address
2330 DUTCH BROADWAY, ELMONT, NY 11003-3508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
926548
NY
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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