National Provider Identifier
Samantha Lee Mogavero, PMHNP
Samantha Lee Mogavero, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 833-3622.
Profile Overview
- NPI
- 1902360183
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- January 22, 2019
- Last Updated
- September 05, 2024
Practice Location
- 3020 Bailey Ave
- Buffalo, NY 14215-2814
Phone: (716) 833-3622
Mailing Address
- 55 Dodge RD
- Getzville, NY 14068-1205
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1902360183
- Entity Type
- Individual
- Last Name
- Mogavero
- First Name
- Samantha
- Middle Name
- Lee
- Credential
- PMHNP
- Provider Other Last Name
- Snell
- Provider Other First Name
- Samantha
- Provider Other Middle Name
- Lee
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 55 Dodge RD
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1205
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Practice Street Address
- 3020 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2814
- Practice Country
- US
- Practice Phone
- (716) 833-3622
- Enumeration Date
- January 22, 2019
- Last Updated
- September 05, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)