Lisa Samos is a Specialist based in West Babylon, NY. Lisa Samos practices in West Babylon, NY. The NPI Number for Lisa Samos is 1598182875 and holds a License No. 1198063 (New York).
The current practice location address for Lisa Samos is 1028 Herzel Blvd, West Babylon, NY and can be reached out via phone at 516-369-0301.
Location: 1028 Herzel Blvd, West Babylon, NY, 11704-4220
Provider Profile Details
NPI Number
1598182875
Provider Name
Lisa Samos
Credential
Provider Entity Type
Individual
Gender
Female
Address
1028 Herzel Blvd, West Babylon, NY, 11704-4220
Phone Number
516-369-0301
Fax Number
Provider Enumeration Date
03/25/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215207162 | 01 | NY | DEVELOPMENTAL DISABILITIES INSTITUTE |
Provider Business Practice Location Address Details
Address
1028 Herzel Blvd
City
State
Zip
11704-4220
Phone Number
516-369-0301
Fax Number
Provider Business Mailing Address Details
Address
1028 Herzel Blvd
City
State
Zip
11704-4220
Phone Number
516-369-0301
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
1198063 (New York)
Definition
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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