Provider Demographics
NPI:1841753282
Name:DOKA, SAMANTHA FRANCIS (MS, CF-SLP, TSSLD)
Entity Type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:FRANCIS
Last Name:DOKA
Suffix:
Gender:F
Credentials:MS, CF-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6421 PLEASANTVIEW ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-1853
Mailing Address - Country:US
Mailing Address - Phone:917-698-6951
Mailing Address - Fax:
Practice Address - Street 1:7114 GRAND AVE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-1872
Practice Address - Country:US
Practice Address - Phone:516-663-4153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist