Individual
SAMANTHA FAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, ATC
Contact information
Practice address
1419 SALT SPRINGS RD, SYRACUSE, NY 13214-1300
(315) 445-4417
Mailing address
27 JANE LACEY DR APT L, ENDICOTT, NY 13760-3730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
10/19/2023
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