Dessources, Samantha Jean-Guillaume

Dessources, Samantha Jean-Guillaume is an individual health care provider with primary practice located at 4954 Merrick Rd , Massapequa Park NY 11762. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dessources, Samantha Jean-Guillaume can be contacted via phone (516) 308-7255.

Contact Information

Primary practice address
4954 Merrick Rd Massapequa Park NY 11762
Phone: (516) 308-7255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 025045-01 New York

Profile Details

NPI number 1598309510
LBN Legal business name Dessources, Samantha Jean-Guillaume
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2019
Last updated Apr 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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