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

Samantha Ezrin

Individual provider Specialist · NPI 1215382130

Samantha Ezrin is a Specialist in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

140 Old Country Rd Apt 118
Mineola, NY 11501-4303
Phone: (516) 220-8985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 818502141 (NY)
Specialist Taxonomy 174400000X · Licence 818855141 (NY)

Record details

NPI number1215382130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 28, 2016
Last updated in NPPESOctober 30, 2019

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