Samuels, Tarsha

Samuels, Tarsha is an sole proprietor health care provider with primary practice located at 1400 Pelham Pkwy S , Bronx NY 10461-1138. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Samuels, Tarsha can be contacted via phone (718) 918-5000.

Contact Information

Primary practice address
1400 Pelham Pkwy S Bronx NY 10461-1138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1720226582 New York

Profile Details

NPI number 1720226582
LBN Legal business name Samuels, Tarsha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2009
Last updated Dec 26th, 2014 - about 10 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 1720226582 NPPES
New York MEDICAID 1720226582

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