Provider Demographics
NPI:1942482724
Name:DROZDZIEL, SAMANTHA VACANTI (MS, CCC-SLP/L)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:VACANTI
Last Name:DROZDZIEL
Suffix:
Gender:F
Credentials:MS, CCC-SLP/L
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9520 FREDONIA STOCKTON RD
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14063-9518
Mailing Address - Country:US
Mailing Address - Phone:716-672-4371
Mailing Address - Fax:716-679-3363
Practice Address - Street 1:9520 FREDONIA STOCKTON RD
Practice Address - Street 2:
Practice Address - City:FREDONIA
Practice Address - State:NY
Practice Address - Zip Code:14063-9518
Practice Address - Country:US
Practice Address - Phone:716-672-4371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016395235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist