Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAIMIE VETTICHIRA SAMUEL, D.O
ActiveJAIMIE VETTICHIRA SAMUEL, D.O is a Pediatrics healthcare provider located in NANUET, New York. NPI 1629479563 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · NANUET, NY
Registration Details
- NPI Number
- 1629479563
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2014 (11.88219308743 yrs)
- Last Updated
- Aug 29, 2022
- Licenses
-
0102205729 (VA)280311 (NY)
Practice Information
- Address
-
25 SMITH ST FL 2NANUET, NY, 109542912Browse NY providers · Browse ZIP 10954
- Phone
- 8456237100
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in NANUET, NY
| Name | Credential | NPI |
|---|---|---|
| DR. ERICA DAWN BERG | M.D. | 1629032321 |
| DR. DANIEL YURCISIN | MD | 1043384779 |
| DR. EVELYN SELBER | MD | 1265506950 |
| DR. ROY H LIEBERMAN | MD | 1881767598 |
| DR. DOUGLAS R PUDER | MD | 1265506919 |
| DR. HARRIET P HUDSON | MD | 1619041357 |
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.