Edwin Samuel
NPI 1497575971 · on the registry since 2024 · sole proprietor
Practice
- Address
- 21837 103rd Ave
Queens Village, NY 11429 - Phone
- (702) 353-8875
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-10
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