Spata, Samantha
Spata, Samantha is an individual health care provider with primary practice located at 90 Air Park Dr , Ronkonkoma NY 11779-7360. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Spata, Samantha can be contacted via phone (631) 580-4000.Contact Information
Primary practice address
90 Air Park Dr
Ronkonkoma NY 11779-7360
Phone: (631) 580-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 2620464 | New York |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 2620416 | New York |
Profile Details
| NPI number | 1841783933 |
|---|---|
| LBN Legal business name | Spata, Samantha |
| Credentials | SCHOOL PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2018 |
| Last updated | Mar 22nd, 2021 - about 5 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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