Provider Demographics
NPI:1942712120
Name:NUER, SAMUEL
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:NUER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 HADDEN ST
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2126
Mailing Address - Country:US
Mailing Address - Phone:914-309-1470
Mailing Address - Fax:914-402-1043
Practice Address - Street 1:126 HADDEN ST
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2126
Practice Address - Country:US
Practice Address - Phone:914-309-1470
Practice Address - Fax:914-402-1043
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-28
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00159-17172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver