Individual provider · Type 1 NPI
Samantha Hertzman
General Practice Registered Nurse · Bay Shore, NY
NPI number
1497675698
Active
Practice location
301 E Main St
Bay Shore, NY 11706-8408
Mailing address
562 S 14th St
Lindenhurst, NY 11757-4438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 691909 (NY) |
General Practice Registered Nurse: Definition to come...
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About NPI 1497675698
Samantha Hertzman's National Provider Identifier is 1497675698, issued on Jul 17, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Bay Shore, NY. The record was last updated on Jul 17, 2026.