Individual provider · Type 1 NPI

Raphael Samaniego

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

NPI number 1710506019 Active

Practice location

1400 Pelham Parkway S.
Brox, NY 10461

Fax (718) 918-6147

Mailing address

1297 Franklin St
Coquitlau, BRITISH COLUMBIA V3B 6N6

Specialties and licenses

TaxonomyCodeLicense
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.

2 other providers at this address

About NPI 1710506019

Raphael Samaniego's National Provider Identifier is 1710506019, issued on Apr 16, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brox, NY. The record was last updated on Apr 16, 2020.