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Samantha Miller

Case Manager/Care Coordinator in Jamaica, NY. Individual provider (NPI-1).

NPI number1124836747
StatusActive
Last updated in NPPESDec 28, 2024

Details

NPI
1124836747
Entity type
Individual (NPI-1)
Name
Samantha Miller
Sex
Female
Sole proprietor
No
Enumeration date
Dec 28, 2024
Certification date
Dec 28, 2024
Last updated
Dec 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

9114 Merrick Blvd Fl 6
Jamaica, NY 11432-5363

Phone 718-408-7178

Mailing address

9114 Merrick Blvd Fl 6
Jamaica, NY 11432-5363

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