Dr. Davis Russal Samuel
Critical Care Medicine
2201 Hempstead Tpke
East Meadow
, New York 11554-1859
Dr. Davis Russal Samuel
Critical Care Medicine
2201 Hempstead Tpke
East Meadow
, New York 11554-1859
(267) 879-0970
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About
Features
Specialties
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Dr. Davis Russal Samuel
- 8902 Bloomfield Pl
- Philadelphia, PA
- Zip : 19115-4506
- Phone : (267) 879-0970
Second Address
- Dr. Davis Russal Samuel
- 2201 Hempstead Tpke
- East Meadow, NY
- Zip : 11554-1859
- Phone : (516) 572-0123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | OS019189 | PA |
National Provider Identifier
| NPI | 1023376274 |
|---|---|
| Provider Name | Dr. Davis Russal Samuel |
| First Address | Philadelphia, PA 19115-4506 |
| Second Address | East Meadow, NY 11554-1859 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2012 |
| Last Update Date | 25/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.