Individual provider · Type 1 NPI

Alicia Rose Sammut

Specialist · Deer Park, NY

NPI number 1467987255 Active

Practice location

1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782

Call (631) 243-1765 Map

Fax (631) 243-3716

Mailing address

66 Birchbrook Dr
Smithtown, NY 11787-3602

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 1467987255

Alicia Rose Sammut's National Provider Identifier is 1467987255, issued on Apr 29, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Deer Park, NY. The record was last updated on Apr 29, 2017.