Dr Sanjay Samuel, MD - General Practice in Brockport, NY

Dr Sanjay Samuel, MD is a General Practice physician based in Brockport, New York. Dr Sanjay Samuel is licensed to practice in New York (license number 254678) and his current practice location is 156 West Ave, Brockport, New York. He can be reached at his office (for appointments etc.) via phone at (585) 637-3131.

NPI number for Dr Sanjay Samuel is 1417180852 and his current mailing address is 156 West Ave, Brockport, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417180852.

Contact Information

Dr Sanjay Samuel, MD
156 West Ave,
Brockport, NY 14420-1229
(585) 637-3131
(585) 395-6036



Physician's Profile

Full NameDr Sanjay Samuel
GenderMale
SpecialityGeneral Practice
Location156 West Ave, Brockport, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417180852
  • Provider Enumeration Date: 09/02/2009
  • Last Update Date: 09/13/2017

Medical Identifiers

Medical identifiers for Dr Sanjay Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417180852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 254678 (New York)Secondary
208D00000XGeneral Practice 254678 (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. Dr Sanjay 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 AddressPractice Location Address
Dr Sanjay Samuel, MD
156 West Ave,
Brockport, NY 14420-1229

Ph: (585) 637-3131
Dr Sanjay Samuel, MD
156 West Ave,
Brockport, NY 14420-1229

Ph: (585) 637-3131

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› Verified 8 days ago


General Practice Doctors in Brockport, NY


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