Individual
DR. JEFFREY T SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8963
Mailing address
88 MARCUS AVE, NEW HYDE PARK, NY 11040-3423
(732) 675-3075
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
316166
NY
Other
Enumeration date
06/25/2019
Last updated
01/08/2024
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