SAMANTHA ELIZABETH TIDWELL

BROOKLYN, NY
NPI1699237073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  026640)
Enumeration Date2019-04-03
Last Update Date2023-07-21
Business Address
SAMANTHA ELIZABETH TIDWELL PA-C
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 718-630-7000
Mailing Address
SAMANTHA ELIZABETH TIDWELL PA-C
576 MADISON ST # 1
BROOKLYN, NY 11221-1606
Phone number: 954-815-0369
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