Individual
SAMANTHA SILVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 N BROADWAY STE B2, MASSAPEQUA, NY 11758-2348
(631) 296-1113
Mailing address
38 INTERVALE AVE, FARMINGDALE, NY 11735-5330
(516) 508-2550
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001984
NY
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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