Surace, Samantha Dawn

Surace, Samantha Dawn is an sole proprietor health care provider with primary practice located at 21 Louise Dr , West Nyack NY 10994-1911. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Surace, Samantha Dawn can be contacted via phone (845) 269-5740.

Contact Information

Primary practice address
21 Louise Dr West Nyack NY 10994-1911
Phone: (845) 269-5740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 468023-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11007304 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F341222-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11007304 Florida

Profile Details

NPI number 1518234111
LBN Legal business name Surace, Samantha Dawn
Credentials FAMILY NURSE PRACTIT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2011
Last updated Dec 1st, 2022 - about 2 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.

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