Provider Demographics
NPI:1275658627
Name:GABREE, SAMARA M (ANP-BC, AAHIVS)
Entity Type:Individual
Prefix:
First Name:SAMARA
Middle Name:M
Last Name:GABREE
Suffix:
Gender:F
Credentials:ANP-BC, AAHIVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 STEEPLE WAY
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-2551
Mailing Address - Country:US
Mailing Address - Phone:518-423-2986
Mailing Address - Fax:518-426-3662
Practice Address - Street 1:100 SLINGERLAND ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12202-1229
Practice Address - Country:US
Practice Address - Phone:518-449-3581
Practice Address - Fax:518-426-3662
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304575363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health