Individual
ALISHA SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 LONGFELLOW AVENUE, NEW YORK, NY 10460
(347) 497-3998
Mailing address
12 POCANTICO RIVER RD, PLEASANTVILLE, NY 10570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025765
NY
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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