SearchNew York2255A2300X

Samara Johnson, ATC

NPI 1225673551 · on the registry since 2019

Practice

Address
15 Royce Dr
Churchville, NY 14428
Phone
(716) 986-3193

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
390200000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York