Gonzalez, Samantha

Gonzalez, Samantha is an sole proprietor health care provider with primary practice located at 16110 Jamaica Ave , Jamaica NY 11432-6139. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gonzalez, Samantha can be contacted via phone (718) 704-5488.

Contact Information

Primary practice address
16110 Jamaica Ave Jamaica NY 11432-6139
Phone: (718) 704-5488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 010518 New York

Profile Details

NPI number 1376088310
LBN Legal business name Gonzalez, Samantha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2016
Last updated Jun 11th, 2020 - about 6 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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