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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None 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.