JENNIFER SAMUEL

NEW YORK, NY
NPI1689224578
Former NameJENNIFER SHAFER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61425969)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  309303)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  10006786)
Enumeration Date2019-09-12
Last Update Date2024-09-23
Business Address
Miss JENNIFER SAMUEL PMHNP-BC
1111 AMSTERDAM AVE
NEW YORK, NY 10025-1716
Phone number: 212-523-4000
Mailing Address
Miss JENNIFER SAMUEL PMHNP-BC
1040 WESTWOOD RD
WOODMERE, NY 11598-1125
Phone number: 516-343-8802