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NPI Code Detail

MEDICARE: MRS. SAMANTHA ZINKOFSKY AGNP-C

MEDICARE:  MRS. SAMANTHA  ZINKOFSKY  AGNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner311254NY

General Provider Information

NPI Number : 1639860091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAMANTHA ZINKOFSKY AGNP-C
Provider Business Mailing Address
First Line : 525 E 68TH ST # 99
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 SHIRCLIFF WAY STE 200
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4766
Country : US
Telephone Number : 904-308-2006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2023
Last Update Date : 12/12/2024

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Directions to “ MRS. SAMANTHA ZINKOFSKY AGNP-C” Practice Location

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