NPI 1063906212

Samissett Humane Services

Organisation Supports Brokerage Agency Newark, NJ

Practice location

Address: 179b Court St, Newark, NJ 07103-3824
Phone: (347) 727-8452
Mailing address: 15 Lakeside Dr, Roosevelt, NY 11575-1829

Authorised official

Name: Funmilayo Theresa Oyibo-Ebije
Title: Director
Phone: (516) 503-8790

Registered specialties (2)

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

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Voluntary or Charitable Agency

Agencies Taxonomy 251V00000X

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Registry record

NPI: 1063906212
Entity type: Organization
NPI issued: 20 Jun 2018
Record last updated: 20 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.