Individual
SAM L BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 N GOODMAN ST, ROCHESTER, NY 14607-1185
(585) 329-1489
Mailing address
12 MOUNT PLEASANT PARK APT 2, ROCHESTER, NY 14608-2966
(585) 489-1438
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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