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1891030771
SAMARA P TETENBAUM
ROSLYN HEIGHTS, NY
NPI
1891030771
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Former Name
SAMARA PULVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 019474)
Enumeration Date
2012-12-04
Last Update Date
2019-07-01
Business Address
SAMARA P TETENBAUM PhD
1 EXPRESSWAY PLZ SUITE 106
ROSLYN HEIGHTS, NY 11577-2047
Phone number: 516-621-2681
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Mailing Address
SAMARA P TETENBAUM PhD
1760 HARVARD AVE
MERRICK, NY 11566-4429
Phone number: 516-662-5013
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