Jonathan Evan Samuels MD

NPI 1679699177 - Internal Medicine - 207RI0200X

NPI Details
NPI 1679699177
Gender Male
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
15211 89TH AVE
JAMAICA NY, 11432-3730, US
Phone (718) 558-9361
Fax
Business Location
88 BARNYARD LN
ROSLYN HEIGHTS NY, 11577-2809, US
Phone (516) 655-4793
Fax (516) 625-1187
Toxanomy
Taxonomy Code 207RI0200X
License State New York
License Number 150499
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According to our database, Dr. Jonathan Evan Samuels MD NPI is 1679699177, taxonomy code is 207RI0200X and license number is 150499, license state is located at New York. Jonathan Evan Samuels MD physically located at 15211 89th Ave, Jamaica NY, 11432-3730. NPI Number Jonathan Evan Samuels MD has the Individual type.

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1679699177 NPI number is provided on an as is basis without warranty of any kind. 1679699177 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Evan Samuels MD are for informational purposes only.