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Miss Samantha Elizabeth Jacoby
Student in an Organized Health Care Education/Training Program in Bohemia, New York
NPI 1790151215

Samantha Elizabeth Jacoby is a Student in an Organized Health Care Education/Training Program based in Bohemia, NY. Samantha Elizabeth Jacoby practices in Bohemia, NY. The NPI Number for Samantha Elizabeth Jacoby is 1790151215 and holds a License No. (New York).

The current practice location address for Samantha Elizabeth Jacoby is 21 Carolyn Ct, Bohemia, NY and can be reached out via phone at 631-741-8511.

Location: 21 Carolyn Ct, Bohemia, NY, 11716-4231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790151215
Provider Name
Samantha Elizabeth Jacoby
Credential
Provider Entity Type
Individual
Gender
Female
Address
21 Carolyn Ct, Bohemia, NY, 11716-4231
Phone Number
631-741-8511
Fax Number
Provider Enumeration Date
08/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21 Carolyn Ct
City
Bohemia
State
New York
Zip
11716-4231
Phone Number
631-741-8511
Fax Number
person
Provider Business Mailing Address Details
Address
21 Carolyn Ct
City
Bohemia
State
New York
Zip
11716-4231
Phone Number
631-741-8511
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
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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