Individual provider · Type 1 NPI

Samantha K. Black, PA-C

Surgical Physician Assistant · Williamsville, NY

NPI number 1144606351 Active

Practice location

825 Wehrle Dr
Williamsville, NY 14221

Fax (716) 634-6056

Mailing address

3719 Union Rd Ste 218
Cheektowaga, NY 14225-4251

Other practice locations

  • 4015 Gateway Blvd, Suite 2120, Newburgh, IN 47630-9460 · (812) 842-0907

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10001929A (IN)

Surgical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1144606351

Samantha K. Black, PA-C's National Provider Identifier is 1144606351, issued on Aug 11, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Williamsville, NY. The record was last updated on Jul 24, 2019.