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

SAMANTHA JEAN-GUILLAUME DESSOURCES, PA-C

Active

SAMANTHA JEAN-GUILLAUME DESSOURCES, PA-C is a Physician Assistant healthcare provider located in MASSAPEQUA PARK, New York. NPI 1598309510 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MASSAPEQUA PARK, NY

Registration Details

NPI Number
1598309510
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2019 (6.7472213903822 yrs)
Last Updated
Apr 6, 2022
License
025045-01 (NY)

Practice Information

Address
4954 MERRICK RD
MASSAPEQUA PARK, NY, 11762
Browse NY providers · Browse ZIP 11762
Phone
5163087255
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MASSAPEQUA PARK, NY

Name Credential NPI
ASHLEY LAUREN SPITERI 1528340940
CORINNE BEYER PHYSICIAN ASSISTANT 1184102246
JENNA DITOMMASO 1417595257
A'LEAH DZIKOWSKI 1548869365
MEGHAN ANNE SLOAN PA-C 1780257592
HOOMAN ARYA PA-C, MS 1396499828
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.