Provider Demographics
NPI:1922492131
Name:DEANS, SAMANTHA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:DEANS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 YOUNGS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2698
Mailing Address - Country:US
Mailing Address - Phone:716-636-8284
Mailing Address - Fax:716-829-3008
Practice Address - Street 1:1020 YOUNGS RD STE 110
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2698
Practice Address - Country:US
Practice Address - Phone:716-636-8284
Practice Address - Fax:716-829-3008
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD466896207V00000X
NY319370207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology