Individual
MR. GEORGE EDMOND JUNIOR SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGACNP-BC
Contact information
Practice address
125 KINGS HWY APT 5E, BROOKLYN, NY 11223-1072
(415) 952-3680
Mailing address
125 KINGS HWY, BROOKLYN, NY 11223-1068
(415) 952-3680
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433309
NY
363LG0600X
Gerontology Nurse Practitioner
433309
NY
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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