Individual
SAMANTHA ELIZABETH BUSGITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
150 W 55TH ST, NEW YORK, NY 10019-5586
(212) 991-6490
(646) 695-1011
Mailing address
150 W 55TH ST, FRNT 1G, NEW YORK, NY 10019-5586
(347) 743-6774
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F345900
NY
363LF0000X
Family Nurse Practitioner
F345900-01
NY
Other
Enumeration date
05/27/2020
Last updated
02/24/2022
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