Individual
DR. LINDA BUSCH SOMACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3930 RICHMOND AVE, SUITE 104, STATEN ISLAND, NY 10312-5100
(718) 605-6383
(718) 605-6384
Mailing address
26 VINCENT AVE, STATEN ISLAND, NY 10306-2137
(718) 605-6383
(718) 605-6384
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012048
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605632
—
NY
01
—
092198
VALUE OPTIONS ID
NY
01
—
241097
MHN PROVIDER ID
NY
01
—
6153853
UNITED HEALTHCARE ID
NY
01
—
6885393
GHI PROVIDER ID
NY
01
—
P2356070
OXFORD ID
NY
Enumeration date
07/29/2006
Last updated
07/09/2007
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