Provider Information for 1902977630
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SAMANTHA K. BELFON LCSW
Sex: Female
NPI: 1902977630
Last Updated: 2012-01-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1902977630 | ||||||||
| Enumeration Date | 2006-11-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2020 CONEY ISLAND AVE BROOKLYN, NY 11223-2329 United States Phone: 718-676-4221 | Fax: | ||||||||
| Primary Practice Address | 2020 CONEY ISLAND AVE BROOKLYN, NY 11223-2329 United States Phone: 718-676-4221 | Fax:718-676-4216 | ||||||||
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