Provider Demographics
NPI:1497019392
Name:BIRKENFELD, SAMANTHA J
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:J
Last Name:BIRKENFELD
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 1:11 INVERNESS DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5547
Mailing Address - Country:US
Mailing Address - Phone:845-642-4464
Mailing Address - Fax:
Practice Address - Street 1:11 INVERNESS DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5547
Practice Address - Country:US
Practice Address - Phone:845-642-4464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist