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Samantha Wormwood
NPI 1861762023 · on the registry since 2012
Practice
- Address
- 118 Canal St
Carthage, NY 13619 - Phone
- (315) 493-1550
- Fax
- (315) 493-0843
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-01-05
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