| Israel Samuelly, M.d. And Michaela Samuelly, M.d., A Professional Corp | |
|
982 Albemarle Rd Brooklyn NY 11218 | |
| (718) 282-1981 | |
| Not Available |
| Full Name | Israel Samuelly, M.d. And Michaela Samuelly, M.d., A Professional Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 982 Albemarle Rd, Brooklyn, New York |
| Authorized Official Name and Position | Israel Samuelly (OWNER) |
| Authorized Official Contact | 7182821981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Israel Samuelly, M.d. And Michaela Samuelly, M.d., A Professional Corp 982 Albemarle Rd Brooklyn NY 11218 Ph: (718) 282-1981 | Israel Samuelly, M.d. And Michaela Samuelly, M.d., A Professional Corp 982 Albemarle Rd Brooklyn NY 11218 Ph: (718) 282-1981 |
| NPI Number | 1942430061 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 10/19/2009 |
| Medicare PECOS PAC ID | 4880732056 |
|---|---|
| Medicare Enrollment ID | O20091109000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942430061 | NPI | - | NPPES |
| 102858 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 102858 (New York) | Primary |
| Provider Name | Michaela Samuelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740365154 PECOS PAC ID: 0244378412 Enrollment ID: I20091109000221 |
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