Healthcare Provider Details

I. General information

NPI: 1114503703
Provider Name (Legal Business Name): SAMANTHA GOLDEN-ESPINAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3629 BELL BLVD FL 1
BAYSIDE NY
11361-2056
US

IV. Provider business mailing address

3629 BELL BLVD FL 1
BAYSIDE NY
11361-2056
US

V. Phone/Fax

Practice location:
  • Phone: 718-224-5800
  • Fax: 718-423-6655
Mailing address:
  • Phone: 718-224-5800
  • Fax: 718-423-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number337496
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: