Most Relevant Information
Provider Data
| NPI Number: | 1003689266 |
| Provider Name: | SAMANTHA ANN SANGEMINO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/31/2023 |
| Last Updated: | 10/31/2023 |
Provider Practice Location
225 BROADHOLLOW RD STE 402
MELVILLE
NY
117474899
Practice Location Phone/Fax
| Phone: | 6313857780 |
| Fax: |
Provider Mailing Location
118 BEVERLY RD
MASSAPEQUA
NY
117588067
Provider Mailing Phone/Fax
| Phone: | 6316369264 |
| Fax: |