Individual ProviderGina M SamuelsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7701 13th Ave, Brooklyn, NY 11228-2413(718) 232-1351PECOS EnrollmentBased on the most recent information from CMS, provider Gina M Samuels does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:18 AM.Profile DetailsProvider ID1487238044Provider TypeIndividualFull NameSamuels, Gina MGenderFemaleSole ProprietorYesEnumeration Date5/10/2021Last Updated5/10/2021Contact InformationPractice LocationPractice Address7701 13th Ave, Brooklyn, NY 11228-2413Phone(718) 232-1351FaxUnlisted FaxMailing LocationMailing Address7701 13th Ave, Brooklyn, NY 11228-2413Phone(718) 232-1351FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense074634New York