Individual provider · Type 1 NPI

Russell H. Samuel, MD

General Practice Physician · Glen Cove, NY

NPI number 1063473908 Active

Practice location

104 Forest Ave
Glen Cove, NY 11542

Call (516) 759-5406 Map

Fax (516) 759-5537

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X161000 (NY)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

8 other providers at this address

About NPI 1063473908

Russell H. Samuel, MD's National Provider Identifier is 1063473908, issued on Mar 30, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Glen Cove, NY. The record was last updated on Nov 25, 2009.