Individual
STEPHANIE SAMPSON-MAGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 BROWN RD, ITHACA, NY 14850-1247
(607) 274-6698
Mailing address
55 BROWN RD, ITHACA, NY 14850-1247
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
686502
NY
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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