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Shelby Samuel, M.D
NPI 1114947157 · on the registry since 2006 · sole proprietor
Practice
- Address
- 200 Brooklyn Ave
Brooklyn, NY 11213 - Phone
- (718) 498-7888
- Fax
- (718) 604-7890
- Organisation at this address
- Brooklyn Avenue Medical Pllc
Blue Green Horizons Office Based Surgery PllcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Gastroenterology Physician
207RG0100X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-02-10
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