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NPI Code Detail

MEDICARE: SUSAN SAMUELS FNP

MEDICARE: SUSAN SAMUELS FNP
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
1363LF0000XFamily Nurse PractitionerNPPA041113PA
2363LF0000XFamily Nurse PractitionerAPRN01959RI
3363LF0000XFamily Nurse Practitioner7945CT
4363LF0000XFamily Nurse Practitioner079135-23NH
5363LF0000XFamily Nurse Practitioner83597NM
6363LF0000XFamily Nurse PractitionerF336729-1NY
7363LF0000XFamily Nurse PractitionerCNP181270ME
8363LF0000XFamily Nurse Practitioner26NJ01075500NJ

General Provider Information

NPI Number : 1396031555
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN SAMUELS FNP
Provider Business Mailing Address
First Line : 89 PILLING ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-1608
Country : US
Telephone Number : 718-812-7080
Fax Number :
Provider Business Practice Location Address
First Line : 835 HERKIMER ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-3031
Country : US
Telephone Number : 914-949-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2011
Last Update Date : 02/23/2026

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