Samuels, Risa Cheryl

Samuels, Risa Cheryl is an individual health care provider with primary practice located at 61-17 220Th St , Oakland Gardens NY 11364-2244. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Samuels, Risa Cheryl can be contacted via phone (718) 225-3050.

Contact Information

Primary practice address
61-17 220Th St Oakland Gardens NY 11364-2244
Phone: (718) 225-3050
Fax: (718) 225-5609
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 040378 New York

Profile Details

NPI number 1063471472
LBN Legal business name Samuels, Risa Cheryl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1063471472 NPPES
New York MEDICAID 01180501

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