Individual
SAMANTHA BANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(774) 279-2315
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(774) 279-2315
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431841
NY
Other
Enumeration date
05/02/2021
Last updated
11/30/2022
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