Samuel, Jaimie Vettichira

Samuel, Jaimie Vettichira is an individual health care provider with primary practice located at 25 Smith St Fl 2 , Nanuet NY 10954-2912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Samuel, Jaimie Vettichira can be contacted via phone (845) 623-7100.

Contact Information

Primary practice address
25 Smith St Fl 2 Nanuet NY 10954-2912
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102205729 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 280311 New York

Profile Details

NPI number 1629479563
LBN Legal business name Samuel, Jaimie Vettichira
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2014
Last updated Aug 29th, 2022 - about 2 years ago

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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