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Russell Samuel, MD
NPI 1063473908 · on the registry since 2006 · sole proprietor
Practice
- Address
- 104 Forest Ave
Glen Cove, NY 11542 - Phone
- (516) 759-5406
- Fax
- (516) 759-5537
- Organisation at this address
- Medstation
The Med Station PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- General Practice Physician
208D00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York