Individual provider · Type 1 NPI
Samantha Iannello, PA-C
Medical Physician Assistant · New York, NY
NPI number
1366874158
Active
Practice location
170 William St
New York, NY 10038-2612
Mailing address
4540 Center Blvd, Apt 307
Long Island City, NY 11109-5792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1366874158
Samantha Iannello, PA-C's National Provider Identifier is 1366874158, issued on Aug 2, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Aug 2, 2013.