Samuel, Valsamma

Samuel, Valsamma is an individual health care provider with primary practice located at 5 Grace Church St Open Door Family Medical Centers, Inc., Port Chester NY 10573-4911. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Samuel, Valsamma can be contacted via phone (914) 937-8899.

Contact Information

Primary practice address
5 Grace Church St Open Door Family Medical Centers, Inc. Port Chester NY 10573-4911
Phone: (914) 937-8899
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 136752-1 New York

Profile Details

NPI number 1124180278
LBN Legal business name Samuel, Valsamma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Dec 7th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124180278 NPPES
New York MEDICAID 00442411

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