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Samantha Rose Amendola, NP
Adult Health Nurse Practitioner in Brightwaters, New York
NPI 1932707932

Samantha Rose Amendola is an Adult Health Nurse Practitioner based in West Islip, NY and is specialized in Adult Health. Samantha Rose Amendola practices in Brightwaters, NY and has the professional credentials of NP. The NPI Number for Samantha Rose Amendola is 1932707932 and holds a License No. 309887 (New York).

The current practice location address for Samantha Rose Amendola is 400 Potter Blvd, Brightwaters, NY and can be reached out via phone at 631-591-7400.

Location: 400 Potter Blvd, Brightwaters, NY, 11795-2805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932707932
Provider Name
Samantha Rose Amendola
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
400 Potter Blvd, Brightwaters, NY, 11795-2805
Phone Number
631-591-7400
Fax Number
Provider Enumeration Date
10/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
309887 01 NY NYS NP LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
400 Potter Blvd
City
Brightwaters
State
New York
Zip
11718
Phone Number
631-591-7400
Fax Number
person
Provider Business Mailing Address Details
Address
400 Potter Blvd
City
Brightwaters
State
New York
Zip
11718
Phone Number
631-591-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
309887 (New York)
Definition
Definition to come...
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