Individual
MS. BREINDY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SPECIAL EDUCATION
Contact information
Practice address
4024 AMBOY RD, STATEN ISLAND, NY 10308-2409
(718) 984-9022
Mailing address
3 ASPEN CT, LAKEWOOD, NJ 08701-4326
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
664136121
NY
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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