SAMANTHA NICOLE NOGULA

HAWTHORNE, NY
NPI1154087047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-11-15
Last Update Date2021-11-15
Business Address
SAMANTHA NICOLE NOGULA PA-C
19 BRADHURST AVE
HAWTHORNE, NY 10532-2140
Phone number: 845-803-6336
Mailing Address
SAMANTHA NICOLE NOGULA PA-C
165 WOOD STREET
MAHOPAC, NY 10541
Phone number: 845-803-6336