Herman, Samantha Dawn

Herman, Samantha Dawn is an individual health care provider with primary practice located at 27 Hyland Dr , Lake Luzerne NY 12846-3923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Herman, Samantha Dawn can be contacted via phone (518) 824-2580.

Contact Information

Primary practice address
27 Hyland Dr Lake Luzerne NY 12846-3923
Phone: (518) 824-2580
Fax: (518) 824-2579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F383312 New York

Profile Details

NPI number 1508533951
LBN Legal business name Herman, Samantha Dawn
Credentials MSN, APN, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2021
Last updated Oct 25th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508533951 NPPES
New York MEDICAID 06777444

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