Individual ProviderPreethi Susan SamuelPharmacistPharmacy Service ProvidersPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5493(646) 531-2057PECOS EnrollmentBased on the most recent information from CMS, provider Preethi Susan Samuel 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 2 days ago.Profile DetailsProvider ID1780311365Provider TypeIndividualFull NameSamuel, Preethi SusanCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date8/4/2022Last Updated8/4/2022Contact InformationPractice LocationPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5493Phone(646) 531-2057FaxUnlisted FaxMailing LocationMailing Address121 Dekalb Ave, Brooklyn, NY 11201-5493PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense068509New York