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RUSSELL H SAMUEL MD
NPI 1063473908
General Practice in Glen Cove, NY

Active since March 30, 2006
104 FOREST AVE, GLEN COVE, NY 11542(516) 759-5406(516) 759-5537 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russell H Samuel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL H SAMUEL MD (NPI 1063473908) is an individual general practice provider in Glen Cove, New York, licensed in New York (161000) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1063473908
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRUSSELL H SAMUELCredential: MD
Location Address104 FOREST AVEGlen Cove, NY 11542
Mailing Address104 Forest AveGlen Cove, NY 11542 · (516) 759-5406 · Fax (516) 759-5537
Phone(516) 759-5406
Fax(516) 759-5537
Sole ProprietorYes
Enumeration DateMarch 30, 2006
Last NPPES UpdateNovember 25, 2009
✔ NPI 1063473908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 161000
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
104 FOREST AVE, Glen Cove, NY 11542
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Other Identifiers 2

Medicare UPINE20497
Medicare PIN30F802T6T1NY

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACLYN TERESCO PA
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
KAITLYN KRAUSE
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
JENNIFER D ROTH PA
Physician Assistant
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
MEDSTATION
Clinic/Center (Urgent Care)
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
YASMIN NUNEZ P.A.
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 676-2904
DR. DEBBIE FELICIANO MD
Family Medicine
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
MS. JACQUELINE ALLISON KIELTY P.A
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
THE MED STATION PC
Internal Medicine
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Samuel's NPI number?

The NPI number for Russell Samuel is 1063473908. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Russell Samuel located?

Russell Samuel practices at 104 Forest Ave, Glen Cove, NY 11542. The listed phone number is (516) 759-5406.

What is Russell Samuel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Russell Samuel was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.