Search › New York › 363A00000X
Samantha Dessources, PA-C
NPI 1598309510 · on the registry since 2019
Practice
- Address
- 4954 Merrick Rd
Massapequa Park, NY 11762 - Phone
- (516) 308-7255
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-06
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