Organization
SAMANTHA MARZANO LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA MARZANO (PRESIDENT)
(917) 648-8198
Entity
Organization
Contact information
Practice address
640 BELLE TERRE RD STE E, PORT JEFFERSON, NY 11777-1936
(917) 648-8198
Mailing address
29 CHUCK LN, SELDEN, NY 11784-1409
(917) 648-8198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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