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Organization

SAMANTHA HIOTAKIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMANTHA HIOTAKIS PSY.D. (CEO)
(631) 255-7715
Entity
Organization

Contact information

Practice address
46 MAIN ST, SOUTHAMPTON, NY 11968-4864
(631) 255-7715
Mailing address
50 HILL ST STE 520, SOUTHAMPTON, NY 11968-5317
(631) 255-7715

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
12/04/2019
Last updated
12/04/2019
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