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Samantha Blondell

NPI 1003382714 · on the registry since 2018 · sole proprietor

Practice

Address
4809 Center Blvd
Long Island City, NY 11109
Phone
(718) 392-5402
Organisation at this address
Nancy Becker
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York