National Provider Identifier

Samantha Slabyk

Samantha Slabyk is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 319-5747.

NPI 1689478810Ithaca, NYPhysician Assistant

Profile Overview

NPI
1689478810
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 04, 2025
Last Updated
April 04, 2025

Practice Location

  • 201 Dates Dr Ste 102
  • Ithaca, NY 14850-1345

Phone: (607) 319-5747

Mailing Address

  • 3 Sheridan RD Apt D
  • Chattanooga, TN 37412-1300

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1689478810
Entity Type
Individual
Last Name
Slabyk
First Name
Samantha
Mailing Street Address
3 Sheridan RD Apt D
Mailing City
Chattanooga
Mailing State
TN
Mailing ZIP Code
37412-1300
Mailing Country
US
Mailing Phone
(585) 815-5910
Practice Street Address
201 Dates Dr Ste 102
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1345
Practice Country
US
Practice Phone
(607) 319-5747
Enumeration Date
April 04, 2025
Last Updated
April 04, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
April 04, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)