Individual
FRANCINE SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 MARCUS AVE STE 201, NEW HYDE PARK, NY 11042-1113
(516) 622-6076
Mailing address
601 W 57TH ST APT 33Q, NEW YORK, NY 10019-1095
(551) 996-8840
(201) 441-9949
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
234935
NY
2080P0206X
Pediatric Gastroenterology Physician
25MA08405800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234935
LICENSE
NY
Enumeration date
11/28/2006
Last updated
07/23/2024
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