SAMANTHA IRENE BOGGS LPN
NPI 1003268863
Clinic/Center - Adult Day Care in Bay Shore, NY
Active since July 05, 2016
About Samantha Irene Boggs Lpn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA IRENE BOGGS LPN (NPI 1003268863) is an individual adult day care provider in Bay Shore, New York, licensed in New York (255708-1) and active in the NPI registry since July 2016.
NPPES Registry Identity
NPI1003268863
Entity TypeIndividualFemale
Primary Taxonomy261QA0600X
Provider Legal NameSAMANTHA IRENE BOGGSCredential: LPN
Location Address31 CHRIS MATT CTBay Shore, NY 11706-6731
Mailing Address31 Chris Matt CtBay Shore, NY 11706-6731 · (631) 968-9196
Phone(631) 968-9196
Sole ProprietorYes
Enumeration DateJuly 5, 2016
✔ NPI 1003268863 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in NY · 255708-1
31 CHRIS MATT CT, Bay Shore, NY 11706
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003268863, enumerated as an "individual" on July 05, 2016.
The provider is located at 31 CHRIS MATT CT BAY SHORE, NY 11706 and the phone number is (631) 968-9196.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.
