| Samantha Marzano Lcsw Pc | |
|
640 Belle Terre Rd Ste E Port Jefferson NY 11777-1936 | |
| (917) 648-8198 | |
| Not Available |
| Full Name | Samantha Marzano Lcsw Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 640 Belle Terre Rd Ste E, Port Jefferson, New York |
| Authorized Official Name and Position | Samantha Marzano (PRESIDENT) |
| Authorized Official Contact | 9176488198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Marzano Lcsw Pc 29 Chuck Ln Selden NY 11784-1409 Ph: (917) 648-8198 | Samantha Marzano Lcsw Pc 640 Belle Terre Rd Ste E Port Jefferson NY 11777-1936 Ph: (917) 648-8198 |
| NPI Number | 1689496044 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689496044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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