Individual
DR. SANDRA ODALIA SAMANIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1430 2ND AVE, SUITE 103, NEW YORK, NY 10021-3313
(212) 434-3364
(212) 717-5691
Mailing address
1430 2ND AVE, SUITE 103, NEW YORK, NY 10021-3313
(212) 434-3364
(212) 717-5691
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007420
NY
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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