Individual
SAMANTHA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
54 COLONIAL DR, FARMINGDALE, NY 11735-3150
(516) 510-4743
Mailing address
54 COLONIAL DR, FARMINGDALE, NY 11735-3150
(516) 510-4743
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
012801-01
NY
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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