Samuels, Jeanette O

Samuels, Jeanette O is an sole proprietor health care provider with primary practice located at 225 Rabro Drive East , Hauppauge NY 11788-4290. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Samuels, Jeanette O can be contacted via phone (631) 853-3020.

Contact Information

Primary practice address
225 Rabro Drive East Hauppauge NY 11788-4290
Phone: (631) 853-3020
Fax: (631) 853-3051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F360016-1 New York

Profile Details

NPI number 1700965787
LBN Legal business name Samuels, Jeanette O
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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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