Individual
SAMANTHA RORI SHIFRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED
Contact information
Practice address
3040 JUDITH DR, BELLMORE, NY 11710-5328
(516) 728-5142
(212) 988-0936
Mailing address
3040 JUDITH DR, BELLMORE, NY 11710-5328
(212) 988-0936
(212) 988-0936
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
812042
NY
251S00000X
Community/Behavioral Health Agency
812042
NY
Other
Enumeration date
11/09/2008
Last updated
05/12/2014
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