Samantha Paige Bavaro

NPI #1184219180 in Lynbrook, New York

Provider Information

NPI Number: 1184219180
Entity Type: Individual
Name: Samantha Paige Bavaro
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Mar 2, 2021
Last Updated: Mar 2, 2021

Practice Location

Address: 11 CATALPA AVE
City: Lynbrook
State: New York
ZIP Code: 11563-3915
Phone: (516) 837-3272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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