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
Phone: (631) 744-4300
Fax: (631) 744-3893
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770764664 | NPPES |
| New York | MEDICAID | 00721884 |
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