Individual provider · Type 1 NPI
Edwin Samuel
Driver · Queens Village, NY
NPI number
1497575971
Active
Practice location
21837 103rd Ave
Queens Village, NY 11429-2001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Queens Village
About NPI 1497575971
Edwin Samuel's National Provider Identifier is 1497575971, issued on Oct 10, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Queens Village, NY. The record was last updated on Oct 10, 2024.