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

MS. Susan BA Samuel, PD, SAS, SDA, MSED

Individual provider Specialist · NPI 1275786832

MS. Susan BA Samuel, PD, SAS, SDA, MSED is a Specialist in South Ozone Park, New York. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

12722 Hawtree Creek Rd
South Ozone Park, NY 11420-1632
Phone: (917) 324-7592
Fax: (347) 644-5737
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1275786832
Entity typeIndividual (Type 1)
GenderFemale
Credentials PD , SAS , SDA , MSED
Sole proprietorNo
NPI enumeratedOctober 28, 2008
Last updated in NPPESSeptember 27, 2012

Other providers in South Ozone Park