National Provider Identifier
Samantha Rose Ennuson, PA-C
Samantha Rose Ennuson, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1437621547
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 31, 2018
- Last Updated
- February 12, 2025
Practice Location
- Elm And Carlton Streets
- Buffalo, NY 14263-1426
Phone: (716) 845-2300
Mailing Address
- 665 Elm St
- Buffalo, NY 14203-1104
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1437621547
- Entity Type
- Individual
- Last Name
- Ennuson
- First Name
- Samantha
- Middle Name
- Rose
- Credential
- PA-C
- Mailing Street Address
- 665 Elm St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1104
- Mailing Country
- US
- Practice Street Address
- Elm And Carlton Streets
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-1426
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Enumeration Date
- December 31, 2018
- Last Updated
- February 12, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 12, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)