MR. Samuel Emmanuel Dickerson, LPN is a licensed practical nurse in Roosevelt, NY. The provider is a licensed practical nurse 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. MR. Samuel Emmanuel Dickerson, LPN NPI is 1902139447. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
95 W GREENWICH AVE
ROOSEVELT, NY
ZIP 11575-035
Phone: (516) 481-3421
Fax: (516) 665-3798
The enumeration date for this NPI number is 9/16/2009 and was last updated on 9/16/2009.