National Provider Identifier
Samantha Gomolka, PA
Samantha Gomolka, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Orchard Park, NY and a listed phone number of (716) 675-7000.
Profile Overview
- NPI
- 1619307121
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- November 19, 2013
- Last Updated
- February 28, 2019
Practice Location
- 3045 Southwestern Blvd Ste 104
- Orchard Park, NY 14127
Phone: (716) 675-7000
Mailing Address
- 3045 Southwestern Blvd Ste 104
- Orchard Park, NY 14127-1209
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1619307121
- Entity Type
- Individual
- Last Name
- Gomolka
- First Name
- Samantha
- Credential
- PA
- Mailing Street Address
- 3045 Southwestern Blvd Ste 104
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1209
- Mailing Country
- US
- Mailing Phone
- (716) 675-7000
- Mailing Fax
- (716) 674-4659
- Practice Street Address
- 3045 Southwestern Blvd Ste 104
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127
- Practice Country
- US
- Practice Phone
- (716) 675-7000
- Practice Fax
- (716) 674-4659
- Enumeration Date
- November 19, 2013
- Last Updated
- February 28, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)