Individual
SAMANTHA DAWN HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
258 HOOSICK ST STE 100, TROY, NY 12180-2450
(518) 272-0232
(518) 274-4083
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06777444
—
NY
Enumeration date
08/24/2021
Last updated
03/02/2026
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