Individual provider · Type 1 NPI

Kelly Samothrakis

Specialist · Farmingdale, NY

NPI number 1336879675 Active

Practice location

500 Bi County Blvd
Farmingdale, NY 11735-3988

Call (718) 264-1640 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1336879675

Kelly Samothrakis's National Provider Identifier is 1336879675, issued on Jun 10, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Farmingdale, NY. The record was last updated on Jun 10, 2022.