Individual
MS. ANNIE J SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2708 CRESCENT ST S, ASTORIA, NY 11102-3143
(718) 274-8137
Mailing address
2708 CRESCENT ST S, ASTORIA, NY 11102-3143
(718) 274-8137
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331395
NY
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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