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

Vadim Samous

Individual provider Licensed Practical Nurse · NPI 1629201470

Vadim Samous is a Licensed Practical Nurse in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

15 Michelle Ln
Staten Island, NY 10306-5669
Phone: (718) 619-3810
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 288859 (NY)

Record details

NPI number1629201470
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 27, 2009
Last updated in NPPESAugust 27, 2009

Other providers in Staten Island