Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor |
NPI | 1104415249 |
---|---|
Provider Name | Samantha Nostramo |
First Address | Howard Beach, NY 11414-3033 |
Second Address | Howard Beach, NY 11414-3033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2021 |
Last Update Date | 13/01/2021 |