Samodulski, Julian Thomas

Samodulski, Julian Thomas is an individual health care provider with primary practice located at 68 W Main St , Oyster Bay NY 11771-2284. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Samodulski, Julian Thomas can be contacted via phone (516) 340-9501.

Contact Information

Primary practice address
68 W Main St Oyster Bay NY 11771-2284
Phone: (516) 340-9501
Fax: (516) 340-9501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 028654 New York

Profile Details

NPI number 1437356987
LBN Legal business name Samodulski, Julian Thomas
Credentials D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Jan 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437356987 NPPES
New York MEDICAID 03362714

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