Provider Demographics
NPI:1659896355
Name:SAMBATARO, HANNAH RAY (PA-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:RAY
Last Name:SAMBATARO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SYLVAN DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-1441
Mailing Address - Country:US
Mailing Address - Phone:603-370-7544
Mailing Address - Fax:
Practice Address - Street 1:50 SYLVAN DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-1441
Practice Address - Country:US
Practice Address - Phone:603-370-7544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant