Individual
DIANA SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1790 BROADWAY FL 7, NEW YORK, NY 10019-1412
(646) 828-7753
Mailing address
1790 BROADWAY FL 7, NEW YORK, NY 10019-1412
(646) 828-7753
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
263572
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2010
Last updated
04/15/2021
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