Healthcare Provider Details

I. General information

NPI: 1427932383
Provider Name (Legal Business Name): SAMANTHA PIERCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 N SALINA ST
SYRACUSE NY
13203-1755
US

IV. Provider business mailing address

934 WESTCOTT ST
SYRACUSE NY
13210-2508
US

V. Phone/Fax

Practice location:
  • Phone: 315-471-1564
  • Fax:
Mailing address:
  • Phone: 315-289-2218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: