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

EDWIN SAMUEL

Active Sole Proprietor

EDWIN SAMUEL is a Driver healthcare provider located in QUEENS VILLAGE, New York. NPI 1497575971 is currently active in the NPPES registry. Verify at CMS.

Driver · QUEENS VILLAGE, NY

Registration Details

NPI Number
1497575971
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2024 (1.8609091428997 yrs)
Last Updated
Oct 10, 2024
Sole Proprietor
Yes

Practice Information

Address
21837 103RD AVE
QUEENS VILLAGE, NY, 114292001
Browse NY providers · Browse ZIP 11429
Phone
7023538875
Primary Specialty
Driver
172A00000X

Other Driver Providers in QUEENS VILLAGE, NY

Name Credential NPI
MS. ANDREA HARRIS 1376129585
HENOCK JEAN VALEUS 1295488310
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.