Samantha Blaine is a student in an organized health care education training program in Stony Brook, NY. The provider is 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. Samantha Blaine NPI is 1497440036. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
101 NICOLLS ROAD
HSC LEVEL 4 ROOM 050
STONY BROOK, NY
ZIP 11794-350
Phone: (631) 444-3880
Fax: (631) 444-3919
The enumeration date for this NPI number is 4/10/2023 and was last updated on 4/10/2023.