Most Relevant Information
Provider Data
| NPI Number: | 1003637679 |
| Provider Name: | SAMANTHA LUCILLE BURAGAS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/17/2024 |
| Last Updated: | 10/17/2024 |
Provider Practice Location
1468 MADISON AVE
NEW YORK
NY
100296508
Practice Location Phone/Fax
| Phone: | 2122416500 |
| Fax: |
Provider Mailing Location
83 WARREN FARM RD
HOPEWELL
NY
125336501
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |