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1376213132
SAMANTHA LOBASSO
RIVERHEAD, NY
NPI
1376213132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F310373-01)
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
SAMANTHA LOBASSO MSN, RN, AGNP
4 W 2ND ST
RIVERHEAD, NY 11901-2702
Phone number: 631-548-6452
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Mailing Address
SAMANTHA LOBASSO MSN, RN, AGNP
29 CENTRAL WOODS LN
BROOKHAVEN, NY 11719-9712
Phone number: 631-891-8954
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