Nidhin Samuel, is a
Nurse Practitioner - Psychiatric/mental Health based in Island Park, New York. Nidhin Samuel is licensed to practice in New York (license number F403257-01) and her current practice location is
1 Long Beach Rd, Island Park, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 432-0300.
NPI number for Nidhin Samuel is 1306518915 and her current mailing address is 1 Long Beach Rd, Island Park, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306518915.
Provider's Profile
| Full Name | Nidhin Samuel |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 1 Long Beach Rd, Island Park, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306518915
- Provider Enumeration Date: 10/01/2021
- Last Update Date: 12/14/2021
Medical Identifiers
Medical identifiers for Nidhin Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306518915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F403257-01 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nidhin Samuel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nidhin Samuel,
1 Long Beach Rd,
Island Park, NY 11558-2254
Ph: () - | Nidhin Samuel,
1 Long Beach Rd,
Island Park, NY 11558-2254
Ph: (516) 432-0300 |
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