Individual
SAMANTHA GIOVANNIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2904
(718) 652-3547
Mailing address
128 RADCLIFF DR, EAST NORWICH, NY 11732-1225
(516) 728-0551
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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