Lisa Samos
NPI #1598182875 in West Babylon, New York
Provider Information
- NPI Number
- 1598182875
- Entity Type
- Individual
- Name
- Lisa Samos
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 25, 2014
- Last Updated
- Mar 25, 2014
Practice Location
- Address
- 1028 HERZEL BLVD
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-4220
- Phone
- (516) 369-0301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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