Individual provider · Type 1 NPI

Samantha Grace Hathaway, DO

Family Medicine Physician · Johnson City, NY

NPI number 1164166708 Active

Practice location

515 Reynolds Rd
Johnson City, NY 13790-1311

Call (607) 798-5510 Map

Mailing address

104 Springer Rd
Binghamton, NY 13904-3404

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X338813 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

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About NPI 1164166708

Samantha Grace Hathaway, DO's National Provider Identifier is 1164166708, issued on Apr 20, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Johnson City, NY. The record was last updated on Jul 24, 2025.