MISS Samantha Ann Basile
NPI #1881159879 in Williston Park, New York
Provider Information
- NPI Number
- 1881159879
- Entity Type
- Individual
- Name
- MISS Samantha Ann Basile
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Feb 5, 2019
- Last Updated
- Feb 5, 2019
Practice Location
- Address
- 100 SHIELDS AVE
- City
- Williston Park
- State
- New York
- ZIP Code
- 11596-2316
- Phone
- (516) 236-9018
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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