National Provider Identifier

Samantha Emily Daley

Samantha Emily Daley is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 690-4455.

NPI 1639738503Rochester, NYPhysician Assistant

Profile Overview

NPI
1639738503
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 13, 2019
Last Updated
February 11, 2025

Practice Location

  • 1425 Portland Ave Bldg 3
  • Rochester, NY 14621-3095

Phone: (585) 690-4455

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1639738503
Entity Type
Individual
Last Name
Daley
First Name
Samantha
Middle Name
Emily
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1425 Portland Ave Bldg 3
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3095
Practice Country
US
Practice Phone
(585) 690-4455
Enumeration Date
June 13, 2019
Last Updated
February 11, 2025
Sex
Female
Sole Proprietor
No
Certification Date
February 11, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)