Individual
DR. JOEL SAMBURSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(800) 376-5566
Mailing address
3275 OCEAN HARBOR DR, OCEANSIDE, NY 11572-3545
(516) 766-1212
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004832
LICENSE
NY
Enumeration date
08/25/2006
Last updated
07/08/2007
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