Healthcare Provider Details

I. General information

NPI: 1447175757
Provider Name (Legal Business Name): SAMANTHA LYN POSLUSZNY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 HOSPITAL DR STE 103
WILLINGBORO NJ
08046-1128
US

IV. Provider business mailing address

660 WHITE PLAINS ROAD - ENTA FOURTH FLOOR
TARRYTOWN NY
10591-6802
US

V. Phone/Fax

Practice location:
  • Phone: 914-333-5801
  • Fax:
Mailing address:
  • Phone: 914-984-2552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number41YA00142700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: