Provider Demographics
NPI:1851327985
Name:PRESS, SAMUEL EANET (MD)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:EANET
Last Name:PRESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 KINDERHOOK LN
Mailing Address - Street 2:
Mailing Address - City:NASSAU
Mailing Address - State:NY
Mailing Address - Zip Code:12123-9215
Mailing Address - Country:US
Mailing Address - Phone:518-766-3221
Mailing Address - Fax:518-766-3221
Practice Address - Street 1:242 MAIN ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2527
Practice Address - Country:US
Practice Address - Phone:607-433-2334
Practice Address - Fax:607-433-1364
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1181482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00370787Medicaid
NYJ400074555Medicare PIN