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NPI Code Detail

MEDICARE: ESTHER SAMUEL

MEDICARE:   ESTHER  SAMUEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse292656NY

General Provider Information

NPI Number : 1538833280
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER SAMUEL
Provider Business Mailing Address
First Line : 1427 FLATBUSH AVE APT A4
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1312 CATON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-1002
Country : US
Telephone Number : 718-693-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2021
Last Update Date : 08/05/2021

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Directions to “ ESTHER SAMUEL ” Practice Location

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