Pidgeon, Samantha

Pidgeon, Samantha is an sole proprietor health care provider with primary practice located at 3600 Route 112 , Coram NY 11727. 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. Pidgeon, Samantha can be contacted via phone (631) 920-8500.

Contact Information

Primary practice address
3600 Route 112 Coram NY 11727
Phone: (631) 920-8500
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1508374190
LBN Legal business name Pidgeon, Samantha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2018
Last updated Jun 5th, 2018 - about 7 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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