Individual
ANNA NIKOLAEVNA SAMEDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
854 ROUTE 212, SAUGERTIES WELLNESS CENTER, SAUGERTIES, NY 12477-4619
(845) 246-2804
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
302842
NY
Other
Enumeration date
05/31/2017
Last updated
08/10/2022
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