Berg, Samantha Ashley

Berg, Samantha Ashley is an sole proprietor health care provider with primary practice located at 635 165 Street Promise Program 6Th Floor, New York NY 10032. She recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as her primary health care specialty. Berg, Samantha Ashley can be contacted via phone (212) 305-4360.

Contact Information

Primary practice address
635 165 Street Promise Program 6Th Floor New York NY 10032
Phone: (212) 305-4360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1467893115
LBN Legal business name Berg, Samantha Ashley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2013
Last updated Jul 10th, 2013 - about 11 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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