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Betty Samuel, DDS
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1952561342

Betty Samuel is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Betty Samuel practices in Stony Brook, NY and has the professional credentials of DDS. The NPI Number for Betty Samuel is 1952561342 and holds a License No. (New York).

The current practice location address for Betty Samuel is Stony Brook University Hospital, Stony Brook, NY and can be reached out via phone at 631-444-2754 and via fax at 631-444-6031.

Location: Stony Brook University Hospital, Stony Brook, NY, 11794-7148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952561342
Provider Name
Betty Samuel
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
Stony Brook University Hospital, Stony Brook, NY, 11794-7148
Phone Number
631-444-2754
Fax Number
631-444-6031
Provider Enumeration Date
06/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Stony Brook University Hospital
City
Stony Brook
State
New York
Zip
11794-7148
Phone Number
631-444-2754
Fax Number
631-444-6031
person
Provider Business Mailing Address Details
Address
Stony Brook University Hospital
City
Stony Brook
State
New York
Zip
11794-7148
Phone Number
631-444-2754
Fax Number
631-444-6031
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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