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General NPI Number Information
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NPI Number | 1902017965
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Entity Type | Individual
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Provider Name | SAMANTHA SLOTNICK OD, FAAO, FCOVD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/09/2015
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Provider Practice Location Address
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Address Line | 495 CENTRAL PARK AVE STE 301
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City | SCARSDALE
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State | NY
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Zip | 10583-1038
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Country | US
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Telephone | 914-874-1118
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Fax | 914-885-1463
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Provider Business Mailing Address
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Address Line | 23 OLD MAMARONECK RD APT 4L
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2013
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Country | US
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Telephone | 914-874-1118
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Fax | 914-885-1463
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00597800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | TUV006820
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | TUV006820
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License Number State | NY
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