Individual ProviderSamantha Grace MichalekStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Dr, Binghamton, NY 13905-4198(607) 798-5111(845) 820-1864PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Grace Michalek does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1164166708Provider TypeIndividualFull NameMichalek, Samantha GraceTitleDr.CredentialDOGenderFemaleSole ProprietorNoEnumeration Date4/20/2022Last Updated4/20/2022Contact InformationPractice LocationPractice Address169 Riverside Dr, Binghamton, NY 13905-4198Phone(607) 798-5111FaxUnlisted FaxMailing LocationMailing Address772 Greenville Tpke, Middletown, NY 10940-7125Phone(845) 820-1864FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer