DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACIE-ANN SAMADH ROBERTS, PHYSICIAN ASSISTANT

Active

GRACIE-ANN SAMADH ROBERTS, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in STATEN ISLAND, New York. NPI 1407045917 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STATEN ISLAND, NY

Registration Details

NPI Number
1407045917
Provider Type
Individual
Gender
Female
NPI Issued
Oct 20, 2007 (18.829259463961 yrs)
Last Updated
Aug 11, 2016
License
011794 (NY)

Practice Information

Address
439 PORT RICHMOND AVE
STATEN ISLAND, NY, 103021714
Browse NY providers · Browse ZIP 10302
Phone
9178301235
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in STATEN ISLAND, NY

Name Credential NPI
ELAINA M CAPORALE PA-C 1275524043
CLARE A BEAGEN-MCHUGH PA 1295718856
MRS. WENDY ALEXANDRA SIMONS PHYSICIAN ASSISTANT 1124095328
ROBERT F CARLUCCI MD 1386603405
JAMES VINCENT RUSSO PA 1194785725
DANIELLE MARIE GRANDNER PA 1053371591
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.