Provider Demographics
NPI:1225443153
Name:REFANO, SAMANTHA C
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:C
Last Name:REFANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 BLAUVELT RD
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3445
Mailing Address - Country:US
Mailing Address - Phone:516-238-4630
Mailing Address - Fax:
Practice Address - Street 1:50 BLAUVELT RD
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-3445
Practice Address - Country:US
Practice Address - Phone:516-238-4630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist