Individual provider · Type 1 NPI

Grace Samuel, FNP-BC

Family Nurse Practitioner · New Hyde Park, NY

NPI number 1124837042 Active

Practice location

26901 76th Ave
New Hyde Park, NY 11040-1433

Mailing address

171 Kilburn Rd S
Garden City South, NY 11530-5628

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF353468 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1124837042

Grace Samuel, FNP-BC's National Provider Identifier is 1124837042, issued on Jan 6, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Hyde Park, NY. The record was last updated on Jan 6, 2025.