National Provider Identifier

Samantha Carmen Blair

Samantha Carmen Blair is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 885-8318.

NPI 1851716070Buffalo, NYSpecialist

Profile Overview

NPI
1851716070
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
February 25, 2014
Last Updated
February 25, 2014

Practice Location

  • 50 E. North Streek
  • Buffalo, NY 14203

Phone: (716) 885-8318

Mailing Address

  • 365 Central Ave
  • Silver Creek, NY 14136-1235

Specialties

  • Specialist (174400000X)
Full Record
NPI
1851716070
Entity Type
Individual
Last Name
Blair
First Name
Samantha
Middle Name
Carmen
Name Prefix
Mrs.
Provider Other Last Name
Mastrelli
Provider Other First Name
Samantha
Provider Other Middle Name
Carmen
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
1
Mailing Street Address
365 Central Ave
Mailing City
Silver Creek
Mailing State
NY
Mailing ZIP Code
14136-1235
Mailing Country
US
Mailing Phone
(716) 410-1090
Practice Street Address
50 E. North Streek
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203
Practice Country
US
Practice Phone
(716) 885-8318
Practice Fax
(716) 885-0229
Enumeration Date
February 25, 2014
Last Updated
February 25, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)