Individual provider · Type 1 NPI

Stacey Samuels

Family Nurse Practitioner · Bronx, NY

NPI number 1497026124 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

3198 Grand Concourse
Bronx, NY 10458-1000

Other practice locations

  • 476 48th St Fl 4, Brooklyn, NY 11220-1954 · (347) 671-7575
  • 211 Beach 90th St, Rockaway Beach, NY 11693-1501 · (347) 671-7575
  • 721 Flushing Ave, Brooklyn, NY 11206-4448 · (347) 671-7575

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X524100-1 (NY)
Family Nurse Practitioner Primary 363LF0000XF-340009-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1497026124

Stacey Samuels's National Provider Identifier is 1497026124, issued on Jan 26, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Oct 30, 2018.