Individual
SAMANTHA GOMOLKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3045 SOUTHWESTERN BLVD STE 104, ORCHARD PARK, NY 14127
(716) 675-7000
(716) 674-4659
Mailing address
3045 SOUTHWESTERN BLVD STE 104, ORCHARD PARK, NY 14127-1209
(716) 675-7000
(716) 674-4659
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01763
WV
Other
Enumeration date
11/19/2013
Last updated
02/28/2019
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