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Contact Information

SAMANTHA JEAN BAGWANDEEN
305 BEACH 69TH ST
ARVERNE, NY11692-1426
 Phone: 347-323-7511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SAMANTHA JEAN BAGWANDEEN · (Female)

NPI Number 1760239701
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2024
Last updated 05/06/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 1622585221
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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