MR. Erroll Sam, CASAC

NPI #1265853493 in Roosevelt, New York

Provider Information

NPI Number: 1265853493
Entity Type: Individual
Name: MR. Erroll Sam, CASAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CASAC
Enumeration Date: Dec 13, 2013
Last Updated: Dec 13, 2013

Practice Location

Address: 380 NASSAU RD
City: Roosevelt
State: New York
ZIP Code: 11575-1343
Phone: (516) 623-7741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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