Individual provider · Type 1 NPI

Samantha Khitrov

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

NPI number 1992638175 Active

Practice location

290 Lenox Ave
New York, NY 10027-4991

Call (332) 297-7824 Map

Mailing address

8 Mountainview Ave
Ardsley, NY 10502-1904

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 1992638175

Samantha Khitrov's National Provider Identifier is 1992638175, issued on Jun 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 5, 2026.