Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Cresciullo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457171803

Samantha Cresciullo is a Student in an Organized Health Care Education/Training Program in Deer Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

97 Adams St
Deer Park, NY 11729-3105
Phone: (631) 388-1436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 124820 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457171803
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2024
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

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