Individual
MRS. JINI SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-2227
Mailing address
25 DUKE PL, STATEN ISLAND, NY 10314-5119
(718) 494-2599
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007227-1
NY
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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