SAMANTHA HALEY BACA

PORT JEFFERSON, NY
NPI1851120463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  354678-01)
Enumeration Date2024-07-31
Last Update Date2024-12-07
Business Address
SAMANTHA HALEY BACA
125 OAKLAND AVE STE 203
PORT JEFFERSON, NY 11777-2130
Phone number: 631-978-7590
Mailing Address
SAMANTHA HALEY BACA
125 OAKLAND AVE STE 203
PORT JEFFERSON, NY 11777-2130
Phone number: 631-978-7590
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