Samuel, Sheeba George

Samuel, Sheeba George is an sole proprietor health care provider with primary practice located at 346 Route 25A Ste 102 , Rocky Point NY 11778-8425. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Samuel, Sheeba George can be contacted via phone (631) 744-4300.

Contact Information

Primary practice address
346 Route 25A Ste 102 Rocky Point NY 11778-8425
Fax: (631) 744-3893
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 049402 New York

Profile Details

NPI number 1770764664
LBN Legal business name Samuel, Sheeba George
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2007
Last updated May 28th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770764664 NPPES
New York MEDICAID 00721884

Popular Providers