person
Russell H Samuel, MD
General Practice Physician in Glen Cove, New York
NPI 1063473908

Russell H Samuel is a General Practice Physician based in Glen Cove, NY. Russell H Samuel practices in Glen Cove, NY and has the professional credentials of MD. The NPI Number for Russell H Samuel is 1063473908 and holds a License No. 161000 (New York).

The current practice location address for Russell H Samuel is 104 Forest Ave, Glen Cove, NY and can be reached out via phone at 516-759-5406 and via fax at 516-759-5537.

Location: 104 Forest Ave, Glen Cove, NY, 11542
person
Provider Profile Details
NPI Number
1063473908
Provider Name
Russell H Samuel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
104 Forest Ave, Glen Cove, NY, 11542
Phone Number
516-759-5406
Fax Number
516-759-5537
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
104 Forest Ave
City
State
Zip
11542
Phone Number
516-759-5406
Fax Number
516-759-5537
person
Provider Business Mailing Address Details
Address
104 Forest Ave
City
State
Zip
11542
Phone Number
516-759-5406
Fax Number
516-759-5537
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
161000 (New York)
Definition
Definition to come...
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