Russell H Samuel, MD is a
General Practice physician based in Glen Cove, New York. Russell H Samuel is licensed to practice in New York (license number 161000) and his current practice location is 104 Forest Ave, Glen Cove, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 759-5406.
NPI number for Russell H Samuel is 1063473908 and his current mailing address is 104 Forest Ave, Glen Cove, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063473908.
Physician's Profile
| Full Name | Russell H Samuel |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 104 Forest Ave, Glen Cove, 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: 1063473908
- Provider Enumeration Date: 03/30/2006
- Last Update Date: 11/25/2009
Medical Identifiers
Medical identifiers for Russell H Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063473908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 161000 (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. Russell H 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 |
|---|
Russell H Samuel, MD
104 Forest Ave,
Glen Cove, NY 11542
Ph: (516) 759-5406 | Russell H Samuel, MD
104 Forest Ave,
Glen Cove, NY 11542
Ph: (516) 759-5406 |
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