Sandra Odalia Samaniego, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

007420 Issued in NY

Practice address

1430 2ND Ave
Suite 103
New York, NY 10021-3313

Phone

(212) 434-3364

Fax

(212) 717-5691

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Park Lenox Medical, PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1043386071
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093866766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 2ND AVE",
            "address_2": "SUITE 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213313",
            "telephone_number": "212-434-3364",
            "fax_number": "212-717-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 2ND AVE",
            "address_2": "SUITE 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213313",
            "telephone_number": "212-434-3364",
            "fax_number": "212-717-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANIEGO",
        "first_name": "SANDRA",
        "middle_name": "ODALIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary-Ann Calalang Samala, COTA
• Jorge Luis Samanamud, MD
• Gabriel Samandarov
• Hadi Samaneh, PT
• Abel Samanez
• Samantha Landau DPM LLC
• Samantha Manewitz, LCSW
• Samar Raza MD PLLC
• Samar Raza MD PLLC
• Stephanie M Samar, PSYD

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.