Individual
SAMANTHA P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4164
(585) 723-7281
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
16069
NY
363AS0400X
Surgical Physician Assistant
Primary
016069
NY
Other
Enumeration date
09/27/2012
Last updated
08/08/2024
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