Anisha Samuel, | |
10460 Queens Blvd, Apt 16c, Forest Hills, NY 11375-7318 | |
(516) 451-5658 | |
Not Available |
Full Name | Anisha Samuel |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 10460 Queens Blvd, Forest Hills, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790123784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 312268 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Anisha Samuel, 10460 Queens Blvd, Apt 16c, Forest Hills, NY 11375-7318 Ph: (516) 451-5658 | Anisha Samuel, 10460 Queens Blvd, Apt 16c, Forest Hills, NY 11375-7318 Ph: (516) 451-5658 |
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