Individual
ANTHEA SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 101ST ST, EAST ELMHURST, NY 11369-2509
(718) 404-4738
Mailing address
3235 101ST ST, EAST ELMHURST, NY 11369-2509
(718) 404-4738
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
225A1140656
NY
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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