Individual
SAMANTHA DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MANETTO HILL RD, PLAINVIEW, NY 11803-1311
(866) 322-7691
(866) 322-7691
Mailing address
11 ACORN AVE, FARMINGVILLE, NY 11738-1704
(516) 491-5168
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
N007286-01
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007286-01
NY
213ES0131X
Foot Surgery Podiatrist
N007286-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2020
Last updated
07/26/2023
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