Samantha Baca

NPI 1851120463 · on the registry since 2024

Practice

Address: 125 Oakland Ave Ste 203
Port Jefferson, NY 11777
Phone: (631) 978-7590
Organisation at this address: Mather Primary Care, Pllc
Family Medical Wellness Pc
Harbor View Medical Services Pc
Harbor View Medical Services Pc
North Shore Endodontic Solutions
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 20

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-12-07

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