Individual
MRS. MICHAELA SAMUELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
928 ALBEMARLE RD, BROOKLYN, NY 11218-2706
(718) 462-5480
Mailing address
928 ALBEMARLE RD, BROOKLYN, NY 11218-2706
(718) 693-0341
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3969
DC
2084P0804X
Child & Adolescent Psychiatry Physician
110242
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00196814
—
NY
Enumeration date
10/25/2006
Last updated
09/11/2025
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