Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samaritan Medical Practice, PC

Organization Surgery Physician · NPI 1124202619

Samaritan Medical Practice, PC is a Surgery Physician in Watertown, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

826 Washington St
Watertown, NY 13601-4063
Phone: (315) 788-1751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1124202619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Victoria — President · (315) 785-4570
NPI enumeratedDecember 20, 2007
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022
Mailing address830 Washington St, Watertown, NY 13601-4034

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