Individual provider · Type 1 NPI

Samantha Revello, DO

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

NPI number 1922595784 Active

Practice location

7676 Amboy Rd
Staten Island, NY 10307-1433

Call (347) 216-8232 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 1922595784

Samantha Revello, DO's National Provider Identifier is 1922595784, issued on Apr 17, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Jan 19, 2025.