Healthcare Provider Details

I. General information

NPI: 1225950710
Provider Name (Legal Business Name): SAMANTHA LYNN CASEY AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 BAINBRIDGE AVE FL 3
BRONX NY
10467-2404
US

IV. Provider business mailing address

467 FAIRVIEW AVE
WESTWOOD NJ
07675-1616
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-2333
  • Fax: 718-920-8112
Mailing address:
  • Phone: 718-920-2333
  • Fax: 718-920-8112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: