Individual
SAMANTHA LA MENDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
200 E 94TH ST APT 219, NEW YORK, NY 10128-3904
(516) 776-3550
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431545
NY
Other
Enumeration date
07/23/2019
Last updated
03/16/2023
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