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DR. JONATHAN EVAN SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15211 89TH AVE, JAMAICA, NY 11432-3730
(718) 558-9361
Mailing address
88 BARNYARD LN, ROSLYN HEIGHTS, NY 11577-2809
(516) 655-4793
(516) 625-1187

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
150499
NY

Other

Enumeration date
03/22/2007
Last updated
07/08/2007
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