Samuel, Mandisa J.

Samuel, Mandisa J. is an sole proprietor health care provider with primary practice located at 53 Bell Ave , Mount Vernon NY 10550-4808. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Samuel, Mandisa J. can be contacted via phone (646) 778-6501.

Contact Information

Primary practice address
53 Bell Ave Mount Vernon NY 10550-4808
Phone: (646) 778-6501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 311705-1 New York

Profile Details

NPI number 1104165778
LBN Legal business name Samuel, Mandisa J.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2013
Last updated Feb 2nd, 2013 - about 13 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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