RUSSELL H. SAMUEL MD – NPI #1063473908
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

RUSSELL SAMUEL is a physician located in GLEN COVE, NY. NPPES has assigned the NPI number 1063473908 to RUSSELL SAMUEL on March 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 17 years ago on Nov 25, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RUSSELL SAMUEL below.

NPI Profile for
RUSSELL H. SAMUEL

NPI Number
1063473908
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RUSSELL H. SAMUEL
Credentials
MD
Primary location
104 FOREST AVE
GLEN COVE, NY 11542
Phone: (516) 759-5406 Fax: (516) 759-5537
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
NY 161000

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.