Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 196010 | NY |
Y | 208600000X | Surgeon | 196010 | NY |
N | 2086S0102X | Surgical Critical Care | 196010 | NY |
NPI | 1235213091 |
---|---|
Provider Name | Sharon Samuels |
First Address | Albany, NY 12208-3479 |
Second Address | Albany, NY 12208-3479 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 23/11/2007 |