Individual
DR. JACOB A SAMANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 MAIN ST, OSSINING, NY 10562-4702
(914) 941-1263
Mailing address
5265 UNIVERSITY PKWY UNIT 101, UNIVERSITY PARK, FL 34201-3012
(914) 941-1263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME63339
FL
2084P0800X
Psychiatry Physician
Primary
241562-01
NY
2084P0800X
Psychiatry Physician
44382
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04179026
—
NY
Enumeration date
09/27/2006
Last updated
03/03/2021
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