Toussaint, Samara

Toussaint, Samara is an sole proprietor health care provider with primary practice located at 2351 Jerusalem Ave , North Bellmore NY 11710-1822. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Toussaint, Samara can be contacted via phone (516) 608-6336.

Contact Information

Primary practice address
2351 Jerusalem Ave North Bellmore NY 11710-1822
Phone: (516) 608-6336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 022519 New York

Profile Details

NPI number 1750827663
LBN Legal business name Toussaint, Samara
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2017
Last updated Oct 22nd, 2019 - about 5 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 1750827663 NPPES
New York MEDICAID 17

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