Individual provider · Type 1 NPI

Samantha Polistina

Specialist · Miller Place, NY

NPI number 1588049191 Active

Practice location

7 Glenwood Ave
Miller Place, NY 11764-2316

Call (631) 220-8064 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X912725151 (NY)

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 1588049191

Samantha Polistina's National Provider Identifier is 1588049191, issued on Jul 24, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Miller Place, NY. The record was last updated on Jul 24, 2015.