Miss Mandisa J Samuel, LPN
Licensed Practical Nurse in Mount Vernon, New York
1104165778- Practice location
- 53 Bell Ave, Mount Vernon, NY 10550-4808
- Phone
- 646-778-6501
- Fax
- —
- Last updated
- February 2, 2013
Mandisa J. Samuel is a Licensed Practical Nurse based in Mount Vernon, NY. Mandisa J. Samuel practices in Mount Vernon, NY and has the professional credentials of LPN. The NPI Number for Mandisa J. Samuel is 1104165778 and holds a License No. 311705-1 (NY). The current practice location address for Mandisa J. Samuel is 53 Bell Ave, Mount Vernon, NY 10550-4808 and can be reached out via phone at 646-778-6501.
Provider Profile Details
- NPI Number
- 1104165778
- Provider Name
- Mandisa J. Samuel
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 53 Bell Ave, Mount Vernon, NY 10550-4808
- Phone Number
- 646-778-6501
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 2, 2013
- Last Update Date
- February 2, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 53 Bell Ave
Mount Vernon, NY 10550-4808 - City
- Mount Vernon
- State
- New York
- Zip
- 10550-4808
- Phone Number
- 646-778-6501
Provider Business Mailing Address Details
- Address
- 53 Bell Ave
Mount Vernon, NY 10550-4808 - City
- Mount Vernon
- State
- NY
- Zip
- 10550-4808
- Phone Number
- 646-778-6501
License Information
- License Number
- 311705-1
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Mandisa J Samuel, LPN?
The NPI number of Miss Mandisa J Samuel, LPN is 1104165778. It was assigned on February 2, 2013 and is currently active in the NPPES registry.
What is the specialty of Miss Mandisa J Samuel, LPN?
Miss Mandisa J Samuel, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 311705-1.
Where does Miss Mandisa J Samuel, LPN practice?
The practice location is 53 Bell Ave, Mount Vernon, NY 10550-4808. The office can be reached at 646-778-6501 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104165778 directly on the NPPES registry website.