MS. Samantha Josephine Otis, PA-C

NPI #1073081824 in Syracuse, New York

Provider Information

NPI Number: 1073081824
Entity Type: Individual
Name: MS. Samantha Josephine Otis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 9, 2018
Last Updated: Nov 9, 2018

Practice Location

Address: 301 PROSPECT AVE
City: Syracuse
State: New York
ZIP Code: 13203-1899
Phone: (315) 448-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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