Healthcare Provider Details

I. General information

NPI: 1285572966
Provider Name (Legal Business Name): SAMANTHA EMILY GILER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N BROADWAY STE 405
SLEEPY HOLLOW NY
10591-1020
US

IV. Provider business mailing address

701 N BROADWAY STE 405
SLEEPY HOLLOW NY
10591-1020
US

V. Phone/Fax

Practice location:
  • Phone: 914-366-5353
  • Fax:
Mailing address:
  • Phone:
  • 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: