National Provider Identifier

Samantha Dewitt

Samantha Dewitt is listed in the NPPES registry with a primary specialty of Specialist in Tonawanda, NY and a listed phone number of (716) 833-4884.

NPI 1609283183Tonawanda, NYSpecialist

Profile Overview

NPI
1609283183
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 17, 2014
Last Updated
July 17, 2014

Practice Location

  • 2545 Sheridan Dr
  • Tonawanda, NY 14150-9478

Phone: (716) 833-4884

Specialties

  • Specialist (174400000X)
Full Record
NPI
1609283183
Entity Type
Individual
Last Name
Dewitt
First Name
Samantha
Mailing Street Address
2545 Sheridan Dr
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-9478
Mailing Country
US
Mailing Phone
(716) 833-4884
Practice Street Address
2545 Sheridan Dr
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-9478
Practice Country
US
Practice Phone
(716) 833-4884
Enumeration Date
July 17, 2014
Last Updated
July 17, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)