Sorell, Samera Averill

Sorell, Samera Averill is an individual health care provider with primary practice located at 1555 Long Pond Rd Ob/Gyn Department, Rochester NY 14626-4122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Sorell, Samera Averill can be contacted via phone (585) 368-4006.

Contact Information

Primary practice address
1555 Long Pond Rd Ob/Gyn Department Rochester NY 14626-4122
Phone: (585) 368-4006
Fax: (585) 368-4009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 001762 New York

Profile Details

NPI number 1861943078
LBN Legal business name Sorell, Samera Averill
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2016
Last updated Feb 3rd, 2017 - about 9 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 1861943078 NPPES
New York MEDICAID 04612373

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