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Samantha Pidgeon
Mental Health Counselor in Coram, New York
NPI 1508374190

Samantha Pidgeon is a Mental Health Counselor based in Flushing, NY and is specialized in Mental Health. Samantha Pidgeon practices in Coram, NY. The NPI Number for Samantha Pidgeon is 1508374190 and holds a License No. (New York).

The current practice location address for Samantha Pidgeon is 3600 Route 112, Coram, NY and can be reached out via phone at 631-920-8500.

Location: 3600 Route 112, Coram, NY, 11351-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508374190
Provider Name
Samantha Pidgeon
Credential
Provider Entity Type
Individual
Gender
Female
Address
3600 Route 112, Coram, NY, 11351-3000
Phone Number
631-920-8500
Fax Number
Provider Enumeration Date
01/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727
Phone Number
631-920-8500
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727
Phone Number
631-920-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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