Individual
SAMANTHA JANE ANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
48 GENESEE ST, NEW HARTFORD, NY 13413-2337
(315) 797-7050
Mailing address
27 RICHARDSON AVE, UTICA, NY 13502-6107
(315) 525-6902
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
896163-01
NY
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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