Jaimie Vettichira Samuel, DO | |
25 Smith St Fl 2, Nanuet, NY 10954-2912 | |
(845) 623-7100 | |
Not Available |
Full Name | Jaimie Vettichira Samuel |
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Gender | Female |
Speciality | Pediatrics |
Location | 25 Smith St Fl 2, Nanuet, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629479563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0102205729 (Virginia) | Secondary |
208000000X | Pediatrics | 280311 (New York) | Primary |
Entity Name | Boston Children's Health Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Entity Name | Mount Vernon Neighborhood Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295912541 PECOS PAC ID: 0345139671 Enrollment ID: O20040313000345 |
Mailing Address | Practice Location Address |
---|---|
Jaimie Vettichira Samuel, DO 22 Poplar St, Elmsford, NY 10523-3726 Ph: (914) 409-3103 | Jaimie Vettichira Samuel, DO 25 Smith St Fl 2, Nanuet, NY 10954-2912 Ph: (845) 623-7100 |
Dr. Maria M D'angelo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 35 Smith St, Nanuet, NY 10954 Phone: 845-623-7100 Fax: 845-732-8440 | |
Dr. Daniel Yurcisin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 35 Smith St, Nanuet, NY 10954 Phone: 845-623-7100 Fax: 845-732-8440 | |
Dr. Elyse Teicher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 205 Airport Executive Park, Nanuet, NY 10954 Phone: 845-356-3610 | |
Babina K Nayak, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 435 Avalon Gardens Dr Apt 435, Nanuet, NY 10954 Phone: 312-218-7183 | |
Dr. Lawrence Eric Krawitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 Airport Executive Park, Nanuet, NY 10954 Phone: 845-356-3610 | |
Dr. Douglas R Puder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Smith St, Nanuet, NY 10954 Phone: 845-623-7100 Fax: 845-732-8440 | |
Dr. Brian F Quinn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 35 Smith St, Nanuet, NY 10954 Phone: 845-623-7100 Fax: 845-732-8440 |