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Contact Information

GONNA SAMUEL, MD
5314 CHURCH AVE
BROOKLYN, NY11203-3609
 Phone: 718-240-9031
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GONNA SAMUEL · (Female)

NPI Number 1104990472
Status Active
Credentials MD
Entity Individual
Enumeration date 11/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 196832
  • NY Medicaid 11019001500
Hospital affiliation(s)
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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