Individual
MS. MICHELLE KAREN SAMUELS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121A WEST 20TH STREET, NEW YORK, NY 10011-2653
(212) 337-5665
(212) 337-5622
Mailing address
121A WEST 20TH STREET, NEW YORK, NY 10011-2653
(212) 337-5665
(212) 337-5622
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03293327
—
NY
01
—
A400037605
MEDICARE
NY
Enumeration date
06/02/2006
Last updated
08/12/2013
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