Individual provider · Type 1 NPI

Samantha Vinceslio

Specialist · Fresh Meadows, NY

NPI number 1801289558 Active

Practice location

17431 Gladwin Ave
Fresh Meadows, NY 11365-1127

Mailing address

174-31 Gladwin Avenue
Fresh Meadows, NY 11365

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 1801289558

Samantha Vinceslio's National Provider Identifier is 1801289558, issued on Mar 5, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Mar 5, 2015.