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

Edwin Samuel

Individual provider Driver · NPI 1497575971

Edwin Samuel is a Driver in Queens Village, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
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Practice location Address checks out

21837 103rd Ave
Queens Village, NY 11429-2001
Phone: (702) 353-8875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X (NY)

Record details

NPI number1497575971
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address21837 103rd Ave, Queens Village, NY 11429-2001

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