Samantha Brown-Stonbraker, RN
Individual provider Active NPI Registered Nurse · Queens, NY
NPI 1003243353 · NPPES record last updated Oct 2, 2013
Key facts
- NPI
- 1003243353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 672925 (NY)
- Practice address
- 163-18 Jamaica Avenue
Suite 607
Queens, NY 11432 - Phone
- (718) 206-3440
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 672925 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 672925 | NY | Yes |
Addresses
Primary practice location
163-18 Jamaica Avenue
Suite 607
Queens, NY 11432
Mailing address
89-74 162ND Street
Queens, NY 11432-5011
Other providers in Queens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.