SAMANTHA JOSEPHINE POLIDORO LPN
NPI 1982991451
Licensed Practical Nurse in Lake Grove, NY

Active since July 06, 2011
7 ANGELA LN, LAKE GROVE, NY 11755(631) 346-5541 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About SAMANTHA POLIDORO

This page provides the complete NPI Profile along with additional information for Samantha Polidoro, a provider established in Lake Grove, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1982991451 assigned on July 2011. The practitioner's primary taxonomy code is 164W00000X with license number 305912 (NY). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1982991451 Verify this NPI
Provider Name
SAMANTHA JOSEPHINE POLIDORO LPN
Gender
Female
Entity Type
Individual
Location Address
7 ANGELA LN LAKE GROVE, NY 11755
Location Phone
(631) 346-5541
Mailing Address
7 ANGELA LN LAKE GROVE, NY 11755
Mailing Phone
(631) 346-5541
Is Sole Proprietor?
Yes
Enumeration Date
07-06-2011
Last Update Date
07-06-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
305912
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982991451, enumerated as an "individual" on July 06, 2011.

The provider is located at 7 ANGELA LN LAKE GROVE, NY 11755 and the phone number is (631) 346-5541.

Licensed Practical Nurse with taxonomy code 164W00000X.