Healthcare Provider Details

I. General information

NPI: 1023949070
Provider Name (Legal Business Name): SAMANTHA MARIE DIGIROLOMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2975 WESTCHESTER AVE STE 202
PURCHASE NY
10577-2500
US

IV. Provider business mailing address

10 FIELDSTONE DR APT 330
HARTSDALE NY
10530-1545
US

V. Phone/Fax

Practice location:
  • Phone: 914-305-5345
  • Fax:
Mailing address:
  • Phone: 914-325-1933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: