Individual
MS. SAMANTHA MOREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(917) 703-6645
Mailing address
14845 86TH AVE, BRIARWOOD, NY 11435-3101
(917) 703-6645
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383154
NY
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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