- Practice location
- 222 Route 59, Suite 304, Airmont, NY 10901-5204
- Phone
- 845-547-2161
- Fax
- —
- Last updated
- April 9, 2014
Samantha Robyn Legault is a Dietetic Technician, Registered based in Airmont, NY. Samantha Robyn Legault practices in Airmont, NY and has the professional credentials of DTR. The NPI Number for Samantha Robyn Legault is 1952720724 and holds a License No. 1019268 (NJ). The current practice location address for Samantha Robyn Legault is 222 Route 59, Suite 304, Airmont, NY 10901-5204 and can be reached out via phone at 845-547-2161.
Provider Profile Details
- NPI Number
- 1952720724
- Provider Name
- Samantha Robyn Legault
- Credential
- DTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 222 Route 59, Suite 304, Airmont, NY 10901-5204
- Phone Number
- 845-547-2161
- Primary Taxonomy
- Dietetic Technician, Registered · 136A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 9, 2014
- Last Update Date
- April 9, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 222 Route 59
Suite 304
Airmont, NY 10901-5204 - City
- Airmont
- State
- New York
- Zip
- 10901-5204
- Phone Number
- 845-547-2161
Provider Business Mailing Address Details
- Address
- 7316 Coventry CT
Riverdale, NJ 07457-1637 - City
- Riverdale
- State
- NJ
- Zip
- 07457-1637
- Phone Number
- 551-427-5109
License Information
- License Number
- 1019268
- License State
- NJ
- Taxonomy
- Dietetic Technician, Registered · 136A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samantha R Legault, DTR?
The NPI number of Samantha R Legault, DTR is 1952720724. It was assigned on April 9, 2014 and is currently active in the NPPES registry.
What is the specialty of Samantha R Legault, DTR?
Samantha R Legault, DTR is registered under the primary taxonomy Dietetic Technician, Registered (code 136A00000X), licensed in NJ under license number 1019268.
Where does Samantha R Legault, DTR practice?
The practice location is 222 Route 59, Suite 304, Airmont, NY 10901-5204. The office can be reached at 845-547-2161 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952720724 directly on the NPPES registry website.