Samila Mamtsis

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

824842141 Issued in NY

Practice address

1651 Coney Island Avenue
2ND Floor
Brooklyn, NY 11230

Phone

(646) 663-9557

NPI assigned

Jul 9, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Samila Mamtsis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1588047450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 CONEY ISLAND AVE",
            "address_2": "2 ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305849",
            "telephone_number": "646-663-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 CONEY ISLAND AVENUE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "646-663-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMTSIS",
        "first_name": "SAMILA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "824842141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMILA",
            "last_name": "MAMTSIS",
            "prefix": "MS.",
            "credential": "SEIT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aytaj Mammadzadeh
• Vicki Anne Mammano, PSY.D
• Narhanym Mammedova, MSED
• Cristina Mammoliti
• Mamre Seventh-Day Adventist Church
• Syeda Fatema Mamun, MD
• Kathy Kwok Fun Man-Wong, M.D.
• Ammy Man
• Winson Man
• Loreta Mana

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.