Individual
MRS. MIRIAM RISA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
126 MONROE ST, LAWRENCE, NY 11559-1923
(516) 816-6562
Mailing address
126 MONROE ST, LAWRENCE, NY 11559-1923
(516) 816-6562
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F002310-01
NY
Other
Enumeration date
06/14/2024
Last updated
07/18/2024
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