National Provider Identifier
Sanjay Samuel, MD
Sanjay Samuel, MD is listed in the NPPES registry with a primary specialty of General Practice Physician in Brockport, NY and a listed phone number of (585) 637-3131.
Profile Overview
- NPI
- 1417180852
- Provider Type
- Individual
- Primary Specialty
- General Practice Physician
- Enumeration Date
- September 02, 2009
- Last Updated
- September 13, 2017
Practice Location
- 156 West Ave
- Brockport, NY 14420-1229
Phone: (585) 637-3131
Specialties
- General Practice Physician (208D00000X)
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1417180852
- Entity Type
- Individual
- Last Name
- Samuel
- First Name
- Sanjay
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 156 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1229
- Mailing Country
- US
- Mailing Phone
- (585) 637-3131
- Practice Street Address
- 156 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1229
- Practice Country
- US
- Practice Phone
- (585) 637-3131
- Practice Fax
- (585) 395-6036
- Enumeration Date
- September 02, 2009
- Last Updated
- September 13, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Physician (208D00000X), Obstetrics & Gynecology Physician (207V00000X)