Individual
DR. SAMANTHA H NISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
303 5TH AVE, NEW YORK, NY 10016-6601
(914) 400-3651
Mailing address
166 W 72ND ST, NEW YORK, NY 10023-3303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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