Provider Demographics
NPI:1891525457
Name:FERRIGNO, SAMANTHA MORGAN (MS EC B-2)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MORGAN
Last Name:FERRIGNO
Suffix:
Gender:F
Credentials:MS EC B-2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 LAWLEY DR
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1561
Mailing Address - Country:US
Mailing Address - Phone:718-354-5413
Mailing Address - Fax:
Practice Address - Street 1:200 NEDRA PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-1736
Practice Address - Country:US
Practice Address - Phone:718-984-1197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist