National Provider Identifier
Samantha Brunner, PA
Samantha Brunner, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 463-3100.
Profile Overview
- NPI
- 1871876912
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 26, 2011
- Last Updated
- August 07, 2015
Practice Location
- 300 Meridian Centre Blvd Ste 320
- Rochester, NY 14618-3984
Phone: (585) 463-3100
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1871876912
- Entity Type
- Individual
- Last Name
- Brunner
- First Name
- Samantha
- Name Prefix
- Mrs.
- Credential
- PA
- Provider Other Last Name
- Lenhard
- Provider Other First Name
- Samantha
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 300 Meridian Centre Blvd Ste 320
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-3984
- Mailing Country
- US
- Practice Street Address
- 300 Meridian Centre Blvd Ste 320
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-3984
- Practice Country
- US
- Practice Phone
- (585) 463-3100
- Enumeration Date
- September 26, 2011
- Last Updated
- August 07, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 03775239 (NY)