Individual
NICHOLAS SAMSTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 E 87TH ST, NEW YORK, NY 10128-1124
(212) 828-2454
Mailing address
125 E 87TH ST, NEW YORK, NY 10128-1124
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013734
NY
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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