Most Relevant Information
Provider Data
| NPI Number: | 1003217092 |
| Provider Name: | SAMANTHA SIGNORILE |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 017909 |
Most Important Dates
| Enumeration Date: | 09/09/2014 |
| Last Updated: | 10/28/2014 |
Provider Practice Location
1 CAMPUS RD
STATEN ISLAND
NY
103014479
Practice Location Phone/Fax
| Phone: | 7183903100 |
| Fax: |
Provider Mailing Location
1 CAMPUS RD
STATEN ISLAND
NY
103014479
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |