Organization
ISRAEL SAMUELLY, M.D. AND MICHAELA SAMUELLY, M.D., A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL SAMUELLY MD (OWNER)
(718) 282-1981
Entity
Organization
Contact information
Practice address
982 ALBEMARLE RD, BROOKLYN, NY 11218
(718) 282-1981
Mailing address
982 ALBEMARLE RD, BROOKLYN, NY 11218
(718) 282-1981
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
102858
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102858
LICENSE
NY
Enumeration date
07/23/2009
Last updated
10/19/2009
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