Individual
SAMANTHA VICTORIA PISTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
758 ARTHUR KILL RD, STATEN ISLAND, NY 10312-2121
(718) 317-5085
Mailing address
137 CROSSFIELD AVE, STATEN ISLAND, NY 10312-1526
(917) 932-4759
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
068778
NY
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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