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: |