Individual provider · Type 1 NPI

Samantha M. Plutchok

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

NPI number 1790424463 Active

Practice location

1819 Feuereisen Ave
Ronkonkoma, NY 11779-6407

Call (516) 419-6456 Map

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.

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About NPI 1790424463

Samantha M. Plutchok's National Provider Identifier is 1790424463, issued on Jun 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Jun 1, 2022.