Glass, Samantha

Glass, Samantha is an individual health care provider with primary practice located at 101 Nichols Road Department Of Radiology, Stony Brook NY 11794-7097. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Glass, Samantha can be contacted via phone (631) 444-3580.

Contact Information

Primary practice address
101 Nichols Road Department Of Radiology Stony Brook NY 11794-7097
Phone: (631) 444-3580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 283010 New York

Profile Details

NPI number 1285994129
LBN Legal business name Glass, Samantha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2012
Last updated Aug 18th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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