Individual
SAMARA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4260 BROADWAY, NEW YORK, NY 10033-3726
(212) 923-8451
Mailing address
462 8TH ST APT 2, BROOKLYN, NY 11215-3616
(609) 401-7698
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383616
NY
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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