New York
Office of the Professions
THEAGENE SAMUEL MICHAEL
Medicine (Physician, Including M Ds & D Os)
License number
194218
Date granted
11/15/1993
Date expires
01/31/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
SPRINGFIELD GARDENS NY
nymedicine.org
ID 30295351
LAST UPDATED 2026-08-17 14:34:10 UTC
LAST UPDATED 2026-08-17 14:34:10 UTC
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