Most Relevant Information
Provider Data
| NPI Number: | 1003382714 |
| Provider Name: | SAMANTHA BLONDELL |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 028258 |
Most Important Dates
| Enumeration Date: | 10/19/2018 |
| Last Updated: | 10/19/2018 |
Provider Practice Location
4809 CENTER BLVD
LONG ISLAND CITY
NY
111095605
Practice Location Phone/Fax
| Phone: | 7183925402 |
| Fax: |
Provider Mailing Location
4809 CENTER BLVD
LONG ISLAND CITY
NY
111095605
Provider Mailing Phone/Fax
| Phone: | 7183925402 |
| Fax: |