Immacula Samson
Nurse Practitioner - Adult Health
8268 164th St
Jamaica
, New York 11432-1121
Immacula Samson
Nurse Practitioner - Adult Health
8268 164th St
Jamaica
, New York 11432-1121
(516) 943-3952
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Immacula Samson
- 46 Ashley Dr
- Valley Stream, NY
- Zip : 11580-2439
- Phone : (516) 943-3952
Second Address
- Immacula Samson
- 8268 164th St
- Jamaica, NY
- Zip : 11432-1121
- Phone : (718) 883-3226
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 9854779 | NY |
National Provider Identifier
| NPI | 1023505955 |
|---|---|
| Provider Name | Immacula Samson |
| First Address | Valley Stream, NY 11580-2439 |
| Second Address | Jamaica, NY 11432-1121 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2018 |
| Last Update Date | 16/06/2018 |
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.