Most Relevant Information
Provider Data
| NPI Number: | 1003245713 |
| Provider Name: | BRIANNA SAMSON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 016908 |
Most Important Dates
| Enumeration Date: | 11/03/2013 |
| Last Updated: | 11/03/2013 |
Provider Practice Location
47 NEW SCOTLAND AVE
ALBANY
NY
122083412
Practice Location Phone/Fax
| Phone: | 5182625332 |
| Fax: |
Provider Mailing Location
225 OLDEFIELD FARMS
ENFIELD
CT
060824589
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |