Individual
CHABIDOU SAMPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 NICOLLS RD, STONY BROOK, NY 11794-4303
(631) 358-1423
Mailing address
462 BAYVIEW AVE, AMITYVILLE, NY 11701-2631
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
405257
NY
363LF0000X
Family Nurse Practitioner
F344519
NY
Other
Enumeration date
07/18/2019
Last updated
12/06/2023
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