Individual
DR. SAMANTHA SLOTNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD, FAAO, FCOVD
Contact information
Practice address
495 CENTRAL PARK AVE STE 301, SCARSDALE, NY 10583-1038
(914) 874-1118
(914) 885-1463
Mailing address
23 OLD MAMARONECK RD APT 4L, WHITE PLAINS, NY 10605-2013
(914) 874-1118
(914) 885-1463
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00597800
NJ
152WP0200X
Pediatric Optometrist
TUV006820
NY
152WV0400X
Vision Therapy Optometrist
Primary
TUV006820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300083922
MEDICARE PTAN- PROVIDER TRANSACTION ACCESS NUMBER
—
Enumeration date
05/24/2007
Last updated
08/09/2015
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