National Provider Identifier
Samantha Mahon
Samantha Mahon is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 455-6002.
Profile Overview
- NPI
- 1225488729
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 15, 2016
- Last Updated
- June 15, 2016
Practice Location
- 31 Brockway Pl
- Brockport, NY 14420-2207
Phone: (585) 455-6002
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1225488729
- Entity Type
- Individual
- Last Name
- Mahon
- First Name
- Samantha
- Mailing Street Address
- 31 Brockway Pl
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2207
- Mailing Country
- US
- Mailing Phone
- (585) 455-6002
- Practice Street Address
- 31 Brockway Pl
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2207
- Practice Country
- US
- Practice Phone
- (585) 455-6002
- Enumeration Date
- June 15, 2016
- Last Updated
- June 15, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)