Individual
SAMIRAH BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
485C US HIGHWAY 1 S STE 100, ISELIN, NJ 08830-3016
(732) 844-3424
(732) 621-8342
Mailing address
PO BOX 392, AVENEL, NJ 07001-0392
(732) 844-3424
(732) 621-8342
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26NJ01188300
NJ
2084P0800X
Psychiatry Physician
F406926
NY
Other
Enumeration date
10/01/2021
Last updated
06/10/2025
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