Individual
YVONNE SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 PENINSULA BLVD, HEMPSTEAD, NY 11550-4900
(516) 292-7111
(516) 489-6492
Mailing address
123 EMERY ST, HEMPSTEAD, NY 11550-7428
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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