Samuel, Aliyamma

Samuel, Aliyamma is an individual health care provider with primary practice located at 82-68 164Th St , Jamaica NY 11432-1121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Samuel, Aliyamma can be contacted via phone (718) 883-3225.

Contact Information

Primary practice address
82-68 164Th St Jamaica NY 11432-1121
Phone: (718) 883-3225
Fax: (718) 883-6193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303426 New York

Profile Details

NPI number 1023114352
LBN Legal business name Samuel, Aliyamma
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023114352 NPPES
New York MEDICAID 00246075

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