Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 235588 | NY |
N | 208000000X | Pediatrician | 235588 | NY |
NPI | 1285710137 |
---|---|
Provider Name | Joy M Samanich |
First Address | Armonk, NY 10504-2025 |
Second Address | Armonk, NY 10504-2025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 17/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I67331 | (02) | NY |