Chabidou Sampain, FNP | |
100 Nicolls Rd, Stony Brook, NY 11794-4303 | |
(631) 358-1423 | |
Not Available |
Full Name | Chabidou Sampain |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 100 Nicolls Rd, Stony Brook, 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 |
---|---|---|---|
1023661188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F344519 (New York) | Secondary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 405257 (New York) | Primary |
Entity Name | Downtown Bronx Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
Entity Name | Stony Brook Psychiatric Associates University Faculty Practice Corpor |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105905 PECOS PAC ID: 7315836731 Enrollment ID: O20040313000174 |
Entity Name | House Call Medical Services Of New York Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427 |
Entity Name | Essen Medical Urgicare, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903 |
Entity Name | Bronx Medical Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356726087 PECOS PAC ID: 9739496100 Enrollment ID: O20150917000004 |
Mailing Address | Practice Location Address |
---|---|
Chabidou Sampain, FNP 462 Bayview Ave, Amityville, NY 11701-2631 Ph: () - | Chabidou Sampain, FNP 100 Nicolls Rd, Stony Brook, NY 11794-4303 Ph: (631) 358-1423 |