VADIM SAMOUS

STATEN ISLAND, NY
NPI1629201470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  288859)
Enumeration Date2009-08-27
Last Update Date2009-08-27
Business Address
-- VADIM SAMOUS
15 MICHELLE LN
STATEN ISLAND, NY 10306-5669
Phone number: 718-619-3810
Mailing Address
-- VADIM SAMOUS
15 MICHELLE LN
STATEN ISLAND, NY 10306-5669
Phone number:
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