Amendola, Samantha Rose

Amendola, Samantha Rose is an individual health care provider with primary practice located at 400 Potter Blvd , Brightwaters NY 11718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Amendola, Samantha Rose can be contacted via phone (631) 591-7400.

Contact Information

Primary practice address
400 Potter Blvd Brightwaters NY 11718
Phone: (631) 591-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 309887 New York

Profile Details

NPI number 1932707932
LBN Legal business name Amendola, Samantha Rose
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2020
Last updated Oct 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932707932 NPPES
New York Other 309887 NYS NP LICENSE NUMBER

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