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1528373206
THAYDENE C SAMUELS
BROOKLYN, NY
NPI
1528373206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 014160)
Enumeration Date
2010-08-18
Last Update Date
2022-12-21
Business Address
Ms. THAYDENE C SAMUELS RPA-C
506 6TH ST
BROOKLYN, NY 11215-3609
Phone number: 718-780-3000
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Mailing Address
Ms. THAYDENE C SAMUELS RPA-C
713 DECATUR ST
UNIONDALE, NY 11553-2217
Phone number: 516-903-8508
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