Individual
PASCAL SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
192 WYONA ST, BROOKLYN, NY 11207-3010
(516) 426-8632
Mailing address
192 WYONA ST, BROOKLYN, NY 11207-3010
(516) 426-8632
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NY
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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