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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA PETRAKIS

Active Sole Proprietor

SAMANTHA PETRAKIS is a Hospice Care, Community Based healthcare provider located in BAYSIDE, New York. NPI 1649746595 is currently active in the NPPES registry. Verify at CMS.

Hospice Care, Community Based · BAYSIDE, NY

Registration Details

NPI Number
1649746595
Provider Type
Individual
Gender
Female
NPI Issued
Oct 18, 2018 (7.8610890429261 yrs)
Last Updated
Oct 18, 2018
Sole Proprietor
Yes

Practice Information

Address
2901 216TH ST
BAYSIDE, NY, 113602810
Browse NY providers · Browse ZIP 11360
Phone
7188192721
Primary Specialty
Hospice Care, Community Based
251J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.