Individual provider · Type 1 NPI

Samantha Rivas Rodriguez

Student in an Organized Health Care Education/Training Program · Forest Hills, NY

NPI number 1205679834 Active

Practice location

11655 Queens Blvd Ste 216
Forest Hills, NY 11375-6527

Call (212) 470-1382 Map

Mailing address

2104 Bronx Park E Apt 3A
Bronx, NY 10462-2212

Other practice locations

  • 255 Executive Dr Ste LL105, Plainview, NY 11803-1718 · (516) 576-2040

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205679834

Samantha Rivas Rodriguez's National Provider Identifier is 1205679834, issued on Jun 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Hills, NY. The record was last updated on Mar 28, 2025.