SAMANTHA IRENE BOGGS

BAY SHORE, NY
NPI1003268863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
(Licence: NY  255708-1)
Enumeration Date2016-07-05
Last Update Date2016-07-05
Business Address
-- SAMANTHA IRENE BOGGS LPN
31 CHRIS MATT CT
BAY SHORE, NY 11706-6731
Phone number: 631-968-9196
Mailing Address
-- SAMANTHA IRENE BOGGS LPN
31 CHRIS MATT CT
BAY SHORE, NY 11706-6731
Phone number: 631-968-9196