Individual provider · Type 1 NPI

Samuel Timothy Noonan, MB BCH BAO

Student in an Organized Health Care Education/Training Program · Flushing, NY

NPI number 1700720232 Active

Practice location

4500 Parsons Blvd
Flushing, NY 11355-2205

Call (718) 670-5939 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700720232

Samuel Timothy Noonan, MB BCH BAO's National Provider Identifier is 1700720232, issued on Apr 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flushing, NY. The record was last updated on Apr 15, 2026.