Individual
ANTOINETTE S SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11642 190TH ST, SAINT ALBANS, NY 11412-3100
(917) 416-7205
Mailing address
11642 190TH ST, SAINT ALBANS, NY 11412-3100
(917) 416-7205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102554-01
NY
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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