Individual
SAMANTHA PAONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 MASON AVE # C, STATEN ISLAND, NY 10305-3408
(718) 226-8734
Mailing address
256 MASON AVE # C, STATEN ISLAND, NY 10305-3408
(718) 226-8734
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
063516
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
08/27/2021
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