SAMARA P TETENBAUM (NPI# 1891030771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891030771 |
| Entity Type | Individual |
| Full Name | SAMARA P TETENBAUM |
| Other Name | SAMARA PULVER |
| Credential | PHD |
| Practice Address |
1 Expressway Plz Suite 106 Roslyn Heights NY 11577-2047 |
| Mailing Address |
1760 Harvard Ave Merrick NY 11566-4429 |
| Practice Telephone | 5166212681 |
| Mailing Telephone | 5166625013 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
019474 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1 EXPRESSWAY PLZ SUITE 106 |
| City | ROSLYN HEIGHTS |
| State | NY |
| Zip Code | 11577-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669451290 | Olivia Nania Velting | Psychologist | 1 Expressway Plz, Suite 110, Roslyn Heights, NY 11577-2047 | 2006-01-12 |
| 1982227260 | Caroline Patrice Segota | Physical Therapist | 1 Expressway Plz, Roslyn Heights, NY 11577-2047 | 2020-05-21 |
| 1447809918 | Marianna Ferraro | Speech-Language Pathologist | 1 Expressway Plz, Roslyn Heights, NY 11577-2047 | 2019-09-08 |
| 1801366000 | Josephine Parrino | Speech-Language Pathologist | 1 Expressway Plz, Roslyn Heights, NY 11577-2047 | 2018-11-29 |
| 1427534197 | Nicole Scafura | Speech-Language Pathologist | 1 Expressway Plz, Roslyn Heights, NY 11577-2047 | 2018-07-16 |
| 1215309596 | Filanthe Efstathiadis | Occupational Therapist | 1 Expressway Plz, Roslyn Heights, NY 11577-2047 | 2015-10-26 |
| 1841694973 | Joyce Kuo | Behavioral Analyst | 1 Expressway Plz, Roslyn Heights, NY 11577-2047 | 2014-10-17 |
| 1114268414 | Dale Rebecca Schiffer | Specialist | 1 Expressway Plz, Roslyn Heights, NY 11577-2047 | 2013-03-12 |
| 1013286574 | Justine Burns | Speech-Language Pathologist | 1 Expressway Plz, Suite 106, Roslyn Heights, NY 11577-2047 | 2011-12-29 |
| 1568743540 | Sara Ribak | Nurse Practitioner | 1 Expressway Plz, Suite 203, Roslyn Heights, NY 11577-2047 | 2011-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275059669 | Roslyn Family Dental, P.C. | Dentist | 86 Mineola Ave, Roslyn Heights, NY 11577 | 2017-08-17 |
| 1740719822 | Kids R Us Services | Early Intervention Provider Agency | 68 Macgregor Ave, Roslyn Heights, NY 11577 | 2017-06-12 |
| 1598202665 | Jennifer Kaylin Puciloski | Physician Assistant | 125 Mineola Avenue, Suite 200, Roslyn Heights, NY 11577 | 2017-01-26 |
| 1821547746 | Jason David Rosenfeld | Dentist | 216 Willis Ave Ste 1, Roslyn Heights, NY 11577 | 2016-10-04 |
| 1255701892 | Child Services Inc Ny | Case Management | 59 Colony Lane, Roslyn Heights, NY 11577 | 2015-09-25 |
| 1669881405 | Niaz Nassiri | Specialist | 20 Jane St., Roslyn Hts, NY 11577 | 2014-08-06 |
| 1578812525 | Lori Karson | Specialist | 42 Midland Road, Roslyn Heights, NY 11577 | 2012-09-06 |
| 1558627604 | Rona T Weiss | Psychologist | 220 South Service Road, Suite 15, Roslyn Heights, NY 11577 | 2012-04-03 |
| 1679848196 | Kuo-chung Chang | Acupuncturist | 59 Mineola Ave, Roslyn Heights, NY 11577 | 2012-03-16 |
| 1285904359 | Barbara R Silverman | Speech-Language Pathologist | 475 Round Hll Rd, Roslyn Heights, NY 11577 | 2012-01-06 |
| Find all providers in zip 11577 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538328687 | Debora J Klener | Psychologist | 220 S Service Rd Ste 17, Roslyn Heights, NY 11577-2131 | 2008-06-04 |
| 1386825065 | Elizabeth Mckay Allured | Psychologist | 220 South Service Rd, Suite 12, Roslyn Heights, NY 11577 | 2007-11-21 |
| 1841346129 | Estelle R.g. Rapoport | Psychologist | 68 Shadetree Ln, Roslyn Heights, NY 11577-2503 | 2007-01-26 |
| 1245346089 | Irwin Flescher | Psychologist | 225 Locust Lane, Roslyn Heights, NY 11577-1451 | 2006-08-22 |
| 1013941293 | Claire Aiosa-karpas | Psychologist | 132 Andover Rd, Roslyn Heights, NY 11577-1834 | 2006-07-11 |
| 1033166434 | James Gries | Psychologist | 33 South St, Roslyn Heights, NY 11577-1714 | 2006-05-30 |
| 1699726026 | Carol R Noble | Psychologist | 185 Roslyn Rd, Suite 2, Roslyn Heights, NY 11577-1356 | 2006-05-12 |
| 1669451290 | Olivia Nania Velting | Psychologist | 1 Expressway Plz, Suite 110, Roslyn Heights, NY 11577-2047 | 2006-01-12 |
| 1184172546 | Jillian Brass | Psychologist | 240 Willow St, Roslyn Heights, NY 11577-1253 | 2016-09-14 |
| 1902141328 | Louis E Mora Phd Psychologist PC | Psychologist | 70 Glen Cove Rd Ste 201, Roslyn Heights, NY 11577-1730 | 2012-12-11 |
| Find all providers in ROSLYN HEIGHTS | ||||
| City | ROSLYN HEIGHTS |
| Zip Code | 11577 |
Please comment or provide details below to improve the information on SAMARA P TETENBAUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.