SAMANTHA LEE KYVIK

MONROE, NY
NPI1184246472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  025434)
Enumeration Date2020-05-11
Last Update Date2020-08-29
Business Address
SAMANTHA LEE KYVIK
147 LUDLAM RD
MONROE, NY 10950-4534
Phone number: 917-715-8978
Mailing Address
SAMANTHA LEE KYVIK
147 LUDLAM RD
MONROE, NY 10950-4534
Phone number: 917-715-8978