Russell H Samuel, MD

NPI #1063473908 in Glen Cove, New York

Provider Information

NPI Number: 1063473908
Entity Type: Individual
Name: Russell H Samuel, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Mar 30, 2006
Last Updated: Nov 25, 2009

Practice Location

Address: 104 FOREST AVE
City: Glen Cove
State: New York
ZIP Code: 11542
Phone: (516) 759-5406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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