Samuel Smith is a Peer Specialist based in Bronx, NY. Samuel Smith practices in Bronx, NY. The NPI Number for Samuel Smith is 1114783990 and holds a License No. (New York).
The current practice location address for Samuel Smith is 2008 Westchester Ave Apt L13, Bronx, NY and can be reached out via phone at 929-606-3234.
Location: 2008 Westchester Ave Apt L13, Bronx, NY, 10462-4596
Provider Profile Details
NPI Number
1114783990
Provider Name
Samuel Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
2008 Westchester Ave Apt L13, Bronx, NY, 10462-4596
Phone Number
929-606-3234
Fax Number
Provider Enumeration Date
02/28/2024
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
2008 Westchester Ave Apt L13
City
State
Zip
10462-4596
Phone Number
929-606-3234
Fax Number
Provider Business Mailing Address Details
Address
2008 Westchester Ave Apt L13
City
State
Zip
10462-4596
Phone Number
929-606-3234
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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