Individual
SAMANTHA WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-3125
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 527-2049
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
138565
NY
Other
Enumeration date
11/05/2021
Last updated
03/17/2022
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