Individual
SAMANTHA MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 FERN OVAL W, ORANGEBURG, NY 10962-2301
(551) 404-4362
Mailing address
11 FERN OVAL W, ORANGEBURG, NY 10962-2301
(551) 404-4362
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2202008156
VA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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