Individual
SAMANTHA WISNEFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 BLACHLEY RD, STAMFORD, CT 06902-0002
(203) 276-2277
Mailing address
1 BLACHLEY RD STE 2, STAMFORD, CT 06902-0003
(203) 276-2277
(203) 276-2277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CT
Other
Enumeration date
10/01/2024
Last updated
11/18/2024
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