Individual
MR. DWAYNE LLOYD SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
53 FAIRMONT ST, ELMSFORD, NY 10523-3403
(917) 723-8918
(855) 873-4328
Mailing address
470 IRVING AVE, BROOKLYN, NY 11237-6122
(917) 723-8918
(855) 873-4328
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
22520078
NY
Other
Enumeration date
10/01/2012
Last updated
11/30/2016
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