Individual provider · Type 1 NPI
Samantha Irene Boggs, LPN
Adult Day Care Clinic/Center · Bay Shore, NY
NPI number
1003268863
Active
Practice location
31 Chris Matt Ct
Bay Shore, NY 11706-6731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | 255708-1 (NY) |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1003268863
Samantha Irene Boggs, LPN's National Provider Identifier is 1003268863, issued on Jul 5, 2016. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Bay Shore, NY. The record was last updated on Jul 5, 2016.