IndividualActive
Samantha Wyckoff, MD
NPI 1003312810 · Addiction Medicine (Psychiatry & Neurology) Physician · Philadelphia, PA
Provider details
- NPI number
- 1003312810
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 306481-01 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
111 N 49th St
Philadelphia, PA 19139-2718
Phone: (215) 471-2600
Approximate (ZIP-level) locationGet directions
Mailing address
525 E 68th St
New York, NY 10065-4870
Registry dates
- Enumerated
- 2018-04-02
- Last updated
- 2023-06-12
- Certified
- 2023-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.