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Individual
TIMOTHY NICHOLAS GLENN SAMPSON
Active
Individual
TIMOTHY NICHOLAS GLENN SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23613
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
07/03/2023
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