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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MICHELLE ALICE SAMUDA

Active Sole Proprietor

Specialist · ROOSEVELT, NY

Registration Details

NPI Number
1023445764
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2013 (12.598920203245 yrs)
Last Updated
Sep 26, 2013
License
478396041 (NY)
Sole Proprietor
Yes

Practice Information

Address
380 WASHINGTON AVE
ROOSEVELT, NY, 115751845
Browse NY providers · Browse ZIP 11575
Phone
5163782000
Primary Specialty
Specialist
174400000X

Other Specialist Providers in ROOSEVELT, NY

Name Credential NPI
MS. MARISSA TOKAR 1477814473
MS. KELLY HAMBLIN MS 1427310150
ROCIO GONZALEZ 1770845265
MS. DEISY DEL ROSARIO FERNANDEZ M.S 1013270149
MS. STEPHANIE L WILLIAMS M.A., M.S., M.ED. 1578818001
MRS. JESSICA JEAN-CHARLES ED. 1649520487
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.