NPI

Samuel Jett

NPI 1811607773

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
LMT
Type
Individual
Enumeration date
2022-12-01
Last updated
2022-12-01

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Specialties

Licenses

License NY
025984

Location

Practice location
253a Iradell Rd
City
Ithaca NY
Postal code
14850-9207
Phone
(607) 288-2785

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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