Individual
SAMANTHA-JEAN BAGWANDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 BEACH 69TH ST, ARVERNE, NY 11692-1426
(347) 323-7511
Mailing address
305 BEACH 69TH ST, ARVERNE, NY 11692-1426
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1622585221
NY
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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