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

Mrs. Manju Biju Sam

Individual provider Adult Health Nurse Practitioner · NPI 1265067466

Mrs. Manju Biju Sam is an Adult Health Nurse Practitioner in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-1923
Phone: (631) 632-6868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F309300-01 (NY)

Record details

NPI number1265067466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 8, 2020
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

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