Wenta, Samantha

Wenta, Samantha is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 3040N, 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. Wenta, Samantha can be contacted via phone (914) 493-7065.

Contact Information

Primary practice address
19 Bradhurst Ave Suite 3040N Hawthorne NY 10532-2140
Phone: (914) 493-7065
Fax: (914) 493-5563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 017844 New York

Profile Details

NPI number 1548669369
LBN Legal business name Wenta, Samantha
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2014
Last updated Nov 4th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548669369 NPPES
New York Other 017844 NY STATE LICENSE NUMBER

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