Individual ProviderAllison SamuelInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address17 E 102nd St, New York, NY 10029-5204(212) 659-8551(646) 605-8186PECOS EnrollmentBased on the most recent information from CMS, provider Allison Samuel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1942797154Provider TypeIndividualFull NameSamuel, AllisonGenderFemaleSole ProprietorNoEnumeration Date4/13/2018Last Updated6/25/2021Contact InformationPractice LocationPractice Address17 E 102nd St, New York, NY 10029-5204Phone(212) 659-8551Fax(212) 831-8116Mailing LocationMailing Address150 E 42nd St Fl 9, New York, NY 10017-5699Phone(646) 605-8186FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense309231New York