MR. ERROLL SAM (NPI# 1265853493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265853493 |
| Entity Type | Individual |
| Full Name | MR. ERROLL SAM |
| Credential | CASAC |
| Practice Address |
380 Nassau Rd Roosevelt NY 11575-1343 |
| Mailing Address |
102 Coolidge Ave Amityville NY 11701-2453 |
| Practice Telephone | 5166237741 |
| Practice Fax Number | 5166237775 |
| Mailing Telephone | 5166237741 |
| Mailing Fax Number | 5166237775 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18871 | NY | Behavioral Health & Social Service Providers |
| Street Address |
380 NASSAU RD |
| City | ROOSEVELT |
| State | NY |
| Zip Code | 11575-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623524 | Sabiha Haque | Internal Medicine | 380 Nassau Rd, Long Island Fqhc, Inc., Roosevelt, NY 11575-1343 | 2006-03-20 |
| 1578122388 | Lilliam Gesell Cruz | Dental Hygienist | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2019-06-06 |
| 1164924387 | Katherine Regan Gallagher | Pharmacist | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2018-03-03 |
| 1457725921 | Tia L Knight-forbes | Nurse Practitioner | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2015-11-21 |
| 1013304013 | Katherine F Cooke | Social Worker | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2015-04-17 |
| 1235531070 | Joshua Pinto | Student in an Organized Health Care Education/Training Program | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2014-09-24 |
| 1649691726 | Juana Maria | Counselor | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2013-12-17 |
| 1144650557 | Carol Jobson | Social Worker | 380 Nassau Rd, Ll, Roosevelt, NY 11575-1343 | 2013-11-21 |
| 1912249459 | Elizabeth Maria Moshkovich | Social Worker | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2013-03-22 |
| 1154607323 | Erum Hashmi | Obstetrics & Gynecology | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2011-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695800 | Joi Emmanuel | Social Worker | 335 East Clinton Avenue, Roosevelt, NY 11575 | 2019-02-19 |
| 1568838654 | Patricia Roots | Licensed Practical Nurse | 76 W Centennial Ave, Roosevelt, NY 11575 | 2015-08-12 |
| 1235413782 | Belle Cleaning Services LLC | Preferred Provider Organization | 64 Elmwood Ave, Roosevelt, NY 11575 | 2011-10-03 |
| 1194970715 | Lisa B. Maniatis-fitting | Physical Therapy Assistant | 360 Washington Ave., Roosevelt, NY 11575 | 2008-11-24 |
| 1629131792 | Naomi Deborah Steinberg | Social Worker | Ucpn-380 Washington Ave, Roosevelt, New York, NY 11575 | 2006-12-19 |
| 1750340212 | Eleanor Babinski | Pediatrics | 150 E. Sunrise Hwy, Suite 105, Lindenhurst, NY 11575 | 2006-03-22 |
| 1558778407 | Eac, Inc. | Day Training, Developmentally Disabled Services | 50 Clinton Street, Hempstead, NY 11575 | 2014-07-11 |
| 1720415342 | Kristen Leigh Gaglio | Specialist | 380 Washington Avenue, Roosevelt, NY 11575 | 2013-09-27 |
| 1083992192 | Stefanie Gofter | Occupational Therapist | 380 Washington Avenue, Roosevelt, NY 11575 | 2011-07-25 |
| 1437304045 | Bobby Nabeyama | Physical Therapist | 360 Washington Ave, Roosevelt, NY 11575 | 2008-11-24 |
| Find all providers in zip 11575 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497020440 | La'draya Shamicka Macon | Counselor | 27a Washington Pl, Roosevelt, NY 11575-1454 | 2012-03-08 |
| 1649691726 | Juana Maria | Counselor | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2013-12-17 |
| 1720236219 | Derwin Johnson | Counselor | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578622 | Roberto Javier Torres | Counselor | 115 Angelacrest Ln, West Seneca, NY 14224-3819 | 2020-11-05 |
| 1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
| 1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
| 1952902371 | Brandon Chevere | Counselor | 175 Remsen St Fl 9, Brooklyn, NY 11201-4333 | 2020-11-03 |
| 1619577541 | Josselyn D Carias-rodriguez | Counselor | 90 Cherry Ln, Hicksville, NY 11801-6232 | 2020-10-29 |
| 1275133688 | Carol Hunt | Counselor | 76 Humboldt Pkwy, Buffalo, NY 14214-2605 | 2020-10-27 |
| 1598363806 | Anabel Lago-pedrick | Counselor | 539 County Road 40, Maplecrest, NY 12454-1245 | 2020-10-09 |
| 1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
| 1538776091 | James Mcrae | Counselor | 100 N Portland Ave Rm B228, Brooklyn, NY 11205-2005 | 2020-09-29 |
| 1215544036 | Jeanette Malpica-oskowitz | Counselor | 100 N Portland Ave # B217, Brooklyn, NY 11205-2005 | 2020-09-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.