Most Relevant Information
Provider Data
| NPI Number: | 1003067570 |
| Provider Name: | DENMATTIE DEVI SAMAROO |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 222445-1 |
Most Important Dates
| Enumeration Date: | 10/02/2008 |
| Last Updated: | 03/30/2009 |
Provider Practice Location
823 E 220TH ST
2ND FLOOR
BRONX
NY
104675376
Practice Location Phone/Fax
| Phone: | 7188106626 |
| Fax: |
Provider Mailing Location
823 E 220TH ST
2ND FLOOR
BRONX
NY
104675376
Provider Mailing Phone/Fax
| Phone: | 7188106626 |
| Fax: |