Jaimie Vettichira Samuel, D.O

NPI #1629479563 in Nanuet, New York

Provider Information

NPI Number: 1629479563
Entity Type: Individual
Name: Jaimie Vettichira Samuel, D.O
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O
Enumeration Date: Sep 10, 2014
Last Updated: Aug 29, 2022

Practice Location

Address: 25 SMITH ST FL 2
City: Nanuet
State: New York
ZIP Code: 10954-2912
Phone: (845) 623-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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