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1003702630
SAMANTHA TAVAREZ
NEW HARTFORD, NY
NPI
1003702630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 034272)
Enumeration Date
2025-06-18
Last Update Date
2025-10-31
Business Address
SAMANTHA TAVAREZ PA-C
20 KELLOGG RD
NEW HARTFORD, NY 13413-2825
Phone number: 315-765-0903
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Mailing Address
SAMANTHA TAVAREZ PA-C
1729 BURRSTONE RD
NEW HARTFORD, NY 13413-1001
Phone number: 315-798-1722
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