Samuel, Irisdene Doreen

Samuel, Irisdene Doreen is an sole proprietor health care provider with primary practice located at 175-22 139Th Road , Jamaica NY 11434. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Samuel, Irisdene Doreen can be contacted via phone (718) 525-0606.

Contact Information

Primary practice address
175-22 139Th Road Jamaica NY 11434
Phone: (718) 525-0606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 431150-1 New York

Profile Details

NPI number 1598021396
LBN Legal business name Samuel, Irisdene Doreen
Credentials RN BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2012
Last updated Apr 5th, 2012 - about 14 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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