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Samuel Dickerson, LPN
NPI 1902139447 · on the registry since 2009 · sole proprietor
Practice
- Address
- 95 W Greenwich Ave
Roosevelt, NY 11575 - Phone
- (516) 481-3421
- Fax
- (516) 665-3798
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-16
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