Bravo, Samantha Cara

Bravo, Samantha Cara is an sole proprietor health care provider with primary practice located at 1101 Stewart Avenue Suite 100 North, Garden City NY 11530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bravo, Samantha Cara can be contacted via phone (516) 838-8739.

Contact Information

Primary practice address
1101 Stewart Avenue Suite 100 North Garden City NY 11530
Phone: (516) 838-8739
Fax: (516) 992-4637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020416 New York

Profile Details

NPI number 1982149811
LBN Legal business name Bravo, Samantha Cara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2017
Last updated Aug 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982149811 NPPES
New York Other A400185700 MEDICARE

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