SAMANTHA HAYLE PRAVDER

VALHALLA, NY
NPI1083175277
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: NY  316438)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-29
Last Update Date2023-01-25
Business Address
SAMANTHA HAYLE PRAVDER
100 WOODS RD
VALHALLA, NY 10595-1530
Phone number: 914-493-6668
Mailing Address
SAMANTHA HAYLE PRAVDER
19 BRADHURST AVE STE 2850
HAWTHORNE, NY 10532-2183
Phone number: 914-367-0000