Organization
SAMANTHA SLOTNICK, INC
Active
Other names
Samantha Slotnick, OD, FAAO, FCOVD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA SLOTNICK OD, FAAO, FCOVD (OPTOMETRIST, OWNER)
(914) 874-1118
Entity
Organization
Contact information
Practice address
495 CENTRAL PARK AVE STE 301, SCARSDALE, NY 10583-1038
(914) 874-1177
(914) 885-1463
Mailing address
495 CENTRAL PARK AVE STE 301, SCARSDALE, NY 10583-1038
(914) 874-1177
(914) 885-1463
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV006820
NY
152WL0500X
Low Vision Rehabilitation Optometrist
TUV006820
NY
152WP0200X
Pediatric Optometrist
TUV006820
NY
152WV0400X
Vision Therapy Optometrist
Primary
TUV006820
NY
152WX0102X
Occupational Vision Optometrist
TUV006820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300083922
MEDICARE PTAN-PROVIDER TRANSACTION ACCESS NUMBER
NY
Enumeration date
08/09/2015
Last updated
08/09/2015
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