Samuel Choura, | |
445 Hamilton Ave Ofc 73, White Plains, NY 10601-1807 | |
(760) 994-4990 | |
Not Available |
Full Name | Samuel Choura |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 445 Hamilton Ave Ofc 73, White Plains, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134781131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701008259 (Virginia) | Primary |
Entity Name | Brightside Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230614002773 |
Mailing Address | Practice Location Address |
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Samuel Choura, 445 Hamilton Ave Ofc 73, White Plains, NY 10601-1807 Ph: () - | Samuel Choura, 445 Hamilton Ave Ofc 73, White Plains, NY 10601-1807 Ph: (760) 994-4990 |
Ms. Elizabeth Gaffney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Church St, White Plains, NY 10601 Phone: 914-421-0400 | |
Mrs. Justine Carino, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 Westchester Ave Ste E106, White Plains, NY 10604 Phone: 914-269-8685 | |
Grace Y. Lin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 S Broadway Ste 401, White Plains, NY 10605 Phone: 917-284-0116 | |
Robert Huguenot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 N Broadway, White Plains, NY 10603 Phone: 914-844-8449 | |
Ms. Jasmin Lawrence, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Worthington Rd, White Plains, NY 10607 Phone: 917-687-6679 | |
Mrs. Melinda Martin Mouquin, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 E Post Rd Ste 302, White Plains, NY 10601 Phone: 914-967-0770 | |
Jon E Ferguson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 N Broadway, White Plains, NY 10603 Phone: 914-881-3126 |