Provider Demographics
NPI:1073710570
Name:JAMES, SAMANTHA A (ATC)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:A
Last Name:JAMES
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1889 WATSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-5424
Mailing Address - Country:US
Mailing Address - Phone:914-943-7220
Mailing Address - Fax:
Practice Address - Street 1:470 WESTERN HWY
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-1210
Practice Address - Country:US
Practice Address - Phone:845-848-7709
Practice Address - Fax:845-398-3042
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000953-1246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other