| Shady Samuel, | |
|
18 Jerome Ave, Mineola, NY 11501-3302 | |
| (718) 268-0452 | |
| Not Available |
| Full Name | Shady Samuel |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18 Jerome Ave, Mineola, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245536382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 055773 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Samuel, 18 Jerome Ave, Mineola, NY 11501-3302 Ph: () - | Shady Samuel, 18 Jerome Ave, Mineola, NY 11501-3302 Ph: (718) 268-0452 |
Dr. Richard Ira Dubin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 156 1st St, Mineola, NY 11501 Phone: 516-248-0560 Fax: 516-248-0574 | |
Dr. Timothy Slavin, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Old Country Rd, Suite 460, Mineola, NY 11501 Phone: 516-663-1152 Fax: 516-663-2039 | |
Dr. Eugene Simons, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 331 Willis Ave, Mineola, NY 11501 Phone: 516-746-5050 Fax: 516-877-0311 | |
Dr. Judson William Wells Jr., DMD Dentist Medicare: Medicare Enrolled Practice Location: 130 E Jericho Tpke, Mineola, NY 11501 Phone: 516-231-1742 Fax: 516-284-1233 | |
Dr. Lawrence E. Becker, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 134 Mineola Blvd, 3rd Floor, Mineola, NY 11501 Phone: 516-294-9696 Fax: 516-294-3531 | |
Dr. Scott Addison Fauvell, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 134 Mineola Blvd Fl 3, Mineola, NY 11501 Phone: 516-294-9696 Fax: 516-294-3531 |