MS. SUSAN BA SAMUEL P.DSAS SDA MS.ED NPI 1275786832

NPI Information

MS. Susan Ba Samuel, P.D,SAS, SDA, MS.ED is a specialist in South Ozone Park, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MS. Susan Ba Samuel, P.D,SAS, SDA, MS.ED NPI is 1275786832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12722 HAWTREE CREEK RD
SOUTH OZONE PARK, NY
ZIP 11420-632
Phone: (917) 324-7592
Fax: (347) 644-5737

The enumeration date for this NPI number is 10/28/2008 and was last updated on 9/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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