MEDICARE: MR. ROBERT SAMUELS PT

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
1	225100000X	Physical Therapist	003388-1	NY

General Provider Information

NPI Number	:	1972843522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT SAMUELS PT

Provider Business Mailing Address
First Line	:	6839 CLOVERDALE LN
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-2760
Country	:	US
Telephone Number	:	718-428-8505
Fax Number	:	718-428-8505

Provider Business Practice Location Address
First Line	:	6839 CLOVERDALE LN
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-2760
Country	:	US
Telephone Number	:	718-428-8505
Fax Number	:	718-428-8505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2013
Last Update Date	:	02/19/2013

Similar Medicare Providers

1841551678 — KATHLEEN CALTABIANO
Practice Location Address:

6823 CLOVERDALE LN , APT A
OAKLAND GARDENS, NY
11364-2760

Practice Phone: 315-857-6032
Practice Fax:

1225375645 — MR. ANDREW LUONG LMHC
Practice Location Address:

6829 CLOVERDALE LN
OAKLAND GARDENS, NY
11364-2760

Practice Phone: 718-844-2979
Practice Fax:

1083108526 — DANIEL S YUN
Practice Location Address:

6821 CLOVERDALE LN
BAYSIDE, NY
11364-2760

Practice Phone: 718-886-8175
Practice Fax:

1659841310 — ESTHER KO
Practice Location Address:

6809 CLOVERDALE LN
BAYSIDE, NY
11364-2760

Practice Phone: 917-932-5541
Practice Fax:

1861850612 — MS. WENDY ELLEN COCHRAN (CD) DONA CERTIFIED
Practice Location Address:

4500 TULIP AVE
OAKLAND, CA
94619-2760

Practice Phone: 510-325-6351
Practice Fax:

1457213910 — ANGELA IFEOMA BENTUM
Practice Location Address:

2308 9TH AVE APT C
OAKLAND, CA
94606-2760

Practice Phone: 510-600-9889
Practice Fax:

Directions to “ MR. ROBERT SAMUELS PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.