IndividualActive
Jeanette Samuels, N.P.
NPI 1700965787 · Obstetrics & Gynecology Nurse Practitioner · Hauppauge, NY
Provider details
- NPI number
- 1700965787
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- Yes
- License
- F360016-1 (NY)
Practice location
225 Rabro Drive East
Hauppauge, NY 11788-4290
Phone: (631) 853-3020
Fax: (631) 853-3051
Mailing address
6 Hickory St
Deer Park, NY 11729-7014
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.