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

Individual provider Registered Dietitian · NPI 1093172090

MS. Lisa Brooke Samuels, RD is a Registered Dietitian in Hewlett, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

67 Prospect Ave #12-C
Hewlett, NY 11557-1640
Phone: (516) 993-3267
Fax: (516) 239-5167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86034080 (NY)

Record details

NPI number1093172090
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJanuary 21, 2016
Last updated in NPPESJanuary 21, 2016

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