NPI Code Detail JSON Logo

1689496044 NPI number — SAMANTHA MARZANO LCSW PC

NPI Number: 1689496044
Health Care Provider/Practitioner: SAMANTHA MARZANO LCSW PC

Information about “1689496044” NPI (SAMANTHA MARZANO LCSW PC) exists in 1689496044 in HTML format HTML  |  1689496044 in plain Text format TXT  |  1689496044 in PDF (Portable Document Format) PDF  |  1689496044 in an XML format XML  formats.

NPI Number : 1689496044 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689496044",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SAMANTHA MARZANO LCSW PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "29 CHUCK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SELDEN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11784-1409",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-648-8198",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "640 BELLE TERRE RD STE E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORT JEFFERSON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11777-1936",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "917-648-8198",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/28/2024",
    "LastUpdateDate": "10/28/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MARZANO",
    "AuthorizedOfficialFirstName": "SAMANTHA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "917-648-8198",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.