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Samantha Dejean

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

NPI number1790258366
StatusActive
Last updated in NPPESJan 7, 2019

Details

NPI
1790258366
Entity type
Individual (NPI-1)
Name
Samantha Dejean
Sex
Female
Sole proprietor
No
Enumeration date
Jan 7, 2019
Last updated
Jan 7, 2019

Taxonomy and licenses

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

Practice location

3651 Bell Blvd Ste 209
Bayside, NY 11361-2025

Phone 800-465-3203

Mailing address

3651 Bell Blvd Ste 209
Bayside, NY 11361-2025

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