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1083365902
SAMANTHA LINES
GREENVALE, NY
NPI
1083365902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
SAMANTHA LINES PA
30 GLEN COVE RD STE 1
GREENVALE, NY 11548-1060
Phone number: 516-469-1965
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Mailing Address
SAMANTHA LINES PA
309 N ALBANY AVE
MASSAPEQUA, NY 11758-2115
Phone number: 516-469-1965
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