Samantha Polistina
NPI #1588049191 in Miller Place, New York
Provider Information
- NPI Number
- 1588049191
- Entity Type
- Individual
- Name
- Samantha Polistina
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 24, 2015
- Last Updated
- Jul 24, 2015
Practice Location
- Address
- 7 GLENWOOD AVE
- City
- Miller Place
- State
- New York
- ZIP Code
- 11764-2316
- Phone
- (631) 220-8064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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