Individual
EDWARD T SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
235 N BELLE MEAD RD, E SETAUKET, NY 11733-3456
(631) 751-3000
(631) 751-3366
Mailing address
235 N BELLE MEAD RD, E SETAUKET, NY 11733-3456
(631) 751-3000
(631) 751-3366
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
123988
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00679983
—
NY
Enumeration date
06/10/2005
Last updated
03/24/2014
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