Individual
MS. ELAINA BAUMANIS-SAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 NICOLLS RD RM 80, STONY BROOK, NY 11794-4226
(631) 444-1535
(631) 444-1116
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010371
NY
Other
Enumeration date
06/13/2007
Last updated
06/05/2019
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