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NPI Code Detail

MEDICARE: SAMANTHA DAVIS LMSW

MEDICARE:   SAMANTHA  DAVIS  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor113948NY

General Provider Information

NPI Number : 1417730961
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA DAVIS LMSW
Provider Business Mailing Address
First Line : 56 ORCHARD AVE
Second Line :
City : RYE
State : NY
Zip : 10580-2806
Country : US
Telephone Number : 917-340-1284
Fax Number :
Provider Business Practice Location Address
First Line : 56 ORCHARD AVE
Second Line :
City : RYE
State : NY
Zip : 10580-2806
Country : US
Telephone Number : 917-340-1284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 08/17/2023

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Directions to “ SAMANTHA DAVIS LMSW” Practice Location

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