Samuels, Tasha T

Samuels, Tasha T is an sole proprietor health care provider with primary practice located at 295 Flatbush Avenue Ext , Brooklyn NY 11201-3001. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Samuels, Tasha T can be contacted via phone (718) 522-1144.

Contact Information

Primary practice address
295 Flatbush Avenue Ext Brooklyn NY 11201-3001
Phone: (718) 522-1144
Fax: (718) 522-5364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2786811 New York

Profile Details

NPI number 1932386513
LBN Legal business name Samuels, Tasha T
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2008
Last updated Oct 3rd, 2013 - about 12 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 1932386513 NPPES
New York MEDICAID 1932386513

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