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Contact Information

SAMANTHA R AMENDOLA, NP
400 POTTER BLVD
BRIGHTWATERS, NY11718
 Phone: 631-591-7400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAMANTHA R AMENDOLA · (Female)

NPI # 1932707932
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/12/2020
Last updated 10/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 309887
  • NY Other 309887 NYS NP LICENSE NUMBER
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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