Individual provider · Type 1 NPI
Maryia Samus
Psychiatric/Mental Health Nurse Practitioner · Jamaica, NY
NPI number
1336024793
Active
Practice location
21451 Jamaica Ave
Jamaica, NY 11428-1733
Mailing address
6724 Selfridge St
Forest Hills, NY 11375-5739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F408959 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1336024793
Maryia Samus's National Provider Identifier is 1336024793, issued on Aug 6, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jamaica, NY. The record was last updated on Oct 12, 2026.