Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sanjay Samuel, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1417180852

Dr. Sanjay Samuel, MD is an Obstetrics & Gynecology Physician in Brockport, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

156 W Ave
Brockport, NY 14420-1229
Phone: (585) 637-3131
Fax: (585) 395-6036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 254678 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 254678 (NY)

Record details

NPI number1417180852
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 2, 2009
Last updated in NPPESSeptember 13, 2017
Mailing address156 West Ave, Brockport, NY 14420-1229

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