Individual
SAMANTHA G WORKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
575 MADISON AVE RM 5, NEW YORK, NY 10022-2511
(315) 664-7219
Mailing address
203 COLONY PARK DR, LIVERPOOL, NY 13088-5409
(315) 664-7219
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401842
NY
Other
Enumeration date
06/26/2015
Last updated
01/05/2024
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