Dr Sanjay Samuel, MD is a
General Practice physician based in Brockport, New York. Dr Sanjay Samuel is licensed to practice in New York (license number 254678) and his current practice location is 156 West Ave, Brockport, New York. He can be reached at his office (for appointments etc.) via phone at
(585) 637-3131.
NPI number for Dr Sanjay Samuel is 1417180852 and his current mailing address is 156 West Ave, Brockport, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417180852.
Physician's Profile
| Full Name | Dr Sanjay Samuel |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 156 West Ave, Brockport, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417180852
- Provider Enumeration Date: 09/02/2009
- Last Update Date: 09/13/2017
Medical Identifiers
Medical identifiers for Dr Sanjay Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417180852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 254678 (New York) | Secondary |
| 208D00000X | General Practice | 254678 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sanjay Samuel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sanjay Samuel, MD
156 West Ave,
Brockport, NY 14420-1229
Ph: (585) 637-3131 | Dr Sanjay Samuel, MD
156 West Ave,
Brockport, NY 14420-1229
Ph: (585) 637-3131 |
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