Individual provider · Type 1 NPI

Vadim Samous

Licensed Practical Nurse · Staten Island, NY

NPI number 1629201470 Active

Practice location

15 Michelle Ln
Staten Island, NY 10306-5669

Call (718) 619-3810 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X288859 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1629201470

Vadim Samous's National Provider Identifier is 1629201470, issued on Aug 27, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 27, 2009.