| Chabidou Sampain, FNP | |
|
100 Nicolls Rd, Stony Brook, NY 11794-4303 | |
| (631) 358-1423 | |
| Not Available |
| Full Name | Chabidou Sampain |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 100 Nicolls Rd, Stony Brook, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023661188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F344519 (New York) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 405257 (New York) | Primary |
| Entity Name | Downtown Bronx Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
| Entity Name | Stony Brook Psychiatric Associates University Faculty Practice Corpor |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105905 PECOS PAC ID: 7315836731 Enrollment ID: O20040313000174 |
| Entity Name | Essen Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
| Entity Name | House Call Medical Services Of New York Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427 |
| Entity Name | Essen Medical Urgicare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903 |
| Entity Name | Bronx Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726087 PECOS PAC ID: 9739496100 Enrollment ID: O20150917000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Chabidou Sampain, FNP 462 Bayview Ave, Amityville, NY 11701-2631 Ph: () - | Chabidou Sampain, FNP 100 Nicolls Rd, Stony Brook, NY 11794-4303 Ph: (631) 358-1423 |