Individual
MRS. NICHOLE MONIQUE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
760 BROADWAY, WOODHULL MENTAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 630-8000
(718) 630-3122
Mailing address
760 BROADWAY DEPT. OF MANAGED CARE ROOM 2B 230, WOODHULL MEDICAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 630-8000
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001419
NY
Other
Enumeration date
04/12/2011
Last updated
05/19/2014
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