Nogula, Samantha Nicole

Nogula, Samantha Nicole is an sole proprietor health care provider with primary practice located at 19 Bradhurst Ave , Hawthorne NY 10532-2140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nogula, Samantha Nicole can be contacted via phone (845) 803-6336.

Contact Information

Primary practice address
19 Bradhurst Ave Hawthorne NY 10532-2140
Phone: (845) 803-6336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1154087047
LBN Legal business name Nogula, Samantha Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2021
Last updated Nov 15th, 2021 - about 3 years ago

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.

Request for update

Popular Providers