Individual
MR. JAN VINCENT SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NP
Contact information
Practice address
330 W 55TH ST APT 3B, NEW YORK, NY 10019-5117
(818) 809-6077
Mailing address
330 W 55TH ST APT 3B, NEW YORK, NY 10019-5117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
708135
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402290
NY
Other
Enumeration date
07/11/2016
Last updated
01/21/2025
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