Individual
SAMANTHA KEORASMEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3 STILLO DR, AIRMONT, NY 10952-4148
(845) 570-3734
Mailing address
3 STILLO DR, AIRMONT, NY 10952-4148
(845) 570-3734
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
305235-1
NY
251E00000X
Home Health Agency
Primary
305235-1
NY
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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