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

Samuel Smith

Individual provider Peer Specialist · NPI 1114783990

Samuel Smith is a Peer Specialist in Bronx, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2008 Westchester Ave Apt L13
Bronx, NY 10462-4596
Phone: (929) 606-3234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1114783990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 28, 2024
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address2008 Westchester Ave Apt L13, Bronx, NY 10462-4596

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