Individual
CECILIA Y.N. SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
75 ELDRIDGE ST, #4, NEW YORK, NY 10002-5241
(917) 623-1139
Mailing address
8521 MIDLAND PKWY, JAMAICA, NY 11432-2220
(718) 291-8051
(718) 291-8051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
074698
NY
Other
Enumeration date
11/30/2008
Last updated
11/30/2008
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