Individual
DR. SAMANTHA JAYNE STUEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 EARLE OVINGTON BLVD STE 106, UNIONDALE, NY 11553-3645
(516) 222-8881
Mailing address
333 EARLE OVINGTON BLVD STE 106, UNIONDALE, NY 11553-3645
(516) 222-8881
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
316650
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2018
Last updated
09/20/2022
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