Individual provider · Type 1 NPI
Merson Samuel, NP
Adult Health Nurse Practitioner · Garden City Park, NY
NPI number
1174643654
Active
Practice location
119 Fulton Ave
Garden City Park, NY 11040
Mailing address
972 Brush Hollow Rd
Westbury, NY 11590-1740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 431164 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F303651 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Garden City Park
About NPI 1174643654
Merson Samuel, NP's National Provider Identifier is 1174643654, issued on Mar 30, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Garden City Park, NY. The record was last updated on Aug 14, 2018.