Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Gonzalez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376088310

Samantha Gonzalez is a Student in an Organized Health Care Education/Training Program in Jamaica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

16110 Jamaica Ave
Jamaica, NY 11432-6139
Phone: (718) 704-5488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 010518 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376088310
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2016
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020

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