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Individual

SAMANTHA S COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5747
Mailing address
160 E 88TH ST, APT 7L, NEW YORK, NY 10128-2233
(267) 784-8169

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014918-1
NY

Other

Enumeration date
08/24/2011
Last updated
03/13/2016
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