Individual provider · Type 1 NPI
Samantha P. Johnson, PA
Surgical Physician Assistant · Rochester, NY
NPI number
1578814752
Active
Practice location
1555 Long Pond Rd
Rochester, NY 14626-4164
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice locations
- 156 West Ave Fl 3, Brockport, NY 14420-1229 · (585) 276-7874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 16069 (NY) |
| Surgical Physician Assistant Primary | 363AS0400X | 016069 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1578814752
Samantha P. Johnson, PA's National Provider Identifier is 1578814752, issued on Sep 27, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rochester, NY. The record was last updated on Aug 8, 2024.