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Samantha Petie-judge
Licensed Practical Nurse in Port Jefferson Station, New York
NPI 1033475744

Samantha Petie-judge is a Licensed Practical Nurse based in Port Jefferson Station, NY. Samantha Petie-judge practices in Port Jefferson Station, NY. The NPI Number for Samantha Petie-judge is 1033475744 and holds a License No. 259896 (New York).

The current practice location address for Samantha Petie-judge is 1010 Route 112, Port Jefferson Station, NY and can be reached out via phone at 631-473-1200.

Location: 1010 Route 112, Port Jefferson Station, NY, 11776-3711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033475744
Provider Name
Samantha Petie-judge
Credential
Provider Entity Type
Individual
Gender
Female
Address
1010 Route 112, Port Jefferson Station, NY, 11776-3711
Phone Number
631-473-1200
Fax Number
Provider Enumeration Date
04/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1010 Route 112
City
Port Jefferson Station
State
New York
Zip
11776-3387
Phone Number
631-473-1200
Fax Number
person
Provider Business Mailing Address Details
Address
1010 Route 112
City
Port Jefferson Station
State
New York
Zip
11776-3387
Phone Number
631-473-1200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
259896 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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