Samantha Shorter
NPI #1144104217 in Mastic Beach, New York
Provider Information
- NPI Number
- 1144104217
- Entity Type
- Individual
- Name
- Samantha Shorter
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 2, 2025
- Last Updated
- Sep 25, 2025
Practice Location
- Address
- 59 KNAPP RD
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-2612
- Phone
- (631) 504-7617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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