Individual
SAMANTHA QUINN HAISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
18 W 21ST ST FL 4, NEW YORK, NY 10010-6923
(212) 645-6903
Mailing address
2818 43RD ST APT 3, ASTORIA, NY 11103-2173
(303) 319-5908
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86092203
NY
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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