Russell H Samuel (NPI# 1063473908, PAC ID# 0446341051) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1063473908 |
| PAC ID by PECOS | 0446341051 |
| Professional Enrollment ID | I20070811000104 |
| Full Name | Russell H Samuel |
| Organization Legal Name | THE MED STATION PC |
| Address |
104 Forest Ave Glen Cove NY 11542-2015 |
| Phone Number | 5167595406 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9739274077 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330181 | GLEN COVE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 104 Forest Ave, Glen Cove, NY 11542-2015 | 5167595406 | THE MED STATION PC |
| Organization Legal Name | THE MED STATION PC |
| Physicians | 1 |
| Street Address |
104 FOREST AVE |
| City | GLEN COVE |
| State | NY |
| Zip | 11542-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen L Lombardi | Psychologist, Clinical | 10 Beech Ct, Glen Cove, NY 11542-1426 | |
| Michael L. Melamed | Psychiatry | 11 Jodi Ct, Glen Cove, NY 11542-1470 | |
| Barbara S Cohen | Psychologist, Clinical | 8 Woodland Rd, Glen Cove, NY 11542-1727 | |
| Patricia M Leslie | Physical Therapy | Physical Therapy Rehab@home PC | 36 Northfield Rd, Glen Cove, NY 11542-1742 |
| Victoria D Bracco | Podiatry | 16 Mckinley Pl, Glen Cove, NY 11542-1927 | |
| Cynthia I Lett | Physical Therapy | Glen Medical Health, PC | 154 Forest Ave, Glen Cove, NY 11542-2023 |
| Loretta Mary Siegel | Family Medicine | 154 Forest Ave, Glen Cove, NY 11542-2023 | |
| Alan N Siegel | Chiropractic | 154 Forest Ave, Glen Cove, NY 11542-2023 | |
| Peter J Kurzweil | Internal Medicine | 235 Forest Ave, Glen Cove, NY 11542-2034 | |
| Christine L Tam | Optometry | Cove Opticians Ltd. | 130 Forest Ave, Glen Cove, NY 11542-2061 |
| Find all physicians in zip 11542 | |||
| City | GLEN COVE |
| Zip Code | 11542 |
| Specialty | GENERAL SURGERY |
| City + Specialty | GLEN COVE + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.