Most Relevant Information
Provider Data
| NPI Number: | 1003537747 |
| Provider Name: | SAMANTHA JOAN MERENSKY |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/12/2022 |
| Last Updated: | 09/12/2022 |
Provider Practice Location
409 CLAY PITTS RD
EAST NORTHPORT
NY
117313804
Practice Location Phone/Fax
| Phone: | 5162975979 |
| Fax: |
Provider Mailing Location
409 CLAY PITTS RD
EAST NORTHPORT
NY
117313804
Provider Mailing Phone/Fax
| Phone: | 5162975979 |
| Fax: |