Obrien, Samantha

Obrien, Samantha is an individual health care provider with primary practice located at 400 Doansburg Rd , Brewster NY 10509-5902. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Obrien, Samantha can be contacted via phone (845) 279-2995.

Contact Information

Primary practice address
400 Doansburg Rd Brewster NY 10509-5902
Fax:
Website:

Profile Details

NPI number 1174276240
LBN Legal business name Obrien, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2022
Last updated Jan 30th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174276240 NPPES
New York MEDICAID 33

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