SAMANTHA KHITROV
NPI 1992638175
Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 05, 2026

290 LENOX AVE, NEW YORK, NY 10027(332) 297-7824 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samantha Khitrov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA KHITROV (NPI 1992638175) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1992638175

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA KHITROV

Location Address290 LENOX AVENew York, NY 10027-4991

Mailing Address8 Mountainview AveArdsley, NY 10502-1904

Phone(332) 297-7824

Sole ProprietorYes

Enumeration DateJune 5, 2026

NPPES CertifiedJune 5, 2026

✔ NPI 1992638175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

290 LENOX AVE, New York, NY 10027

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP