Individual
SAMANTHA EROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 FORT WASHINGTON AVE STE 199, NEW YORK, NY 10032-3722
(212) 420-2000
Mailing address
172 HORTON ST, BRONX, NY 10464-1619
(646) 210-3648
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
315899
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2017
Last updated
08/18/2022
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