Individual
GARY SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15253 10TH AVE, WHITESTONE, NY 11357-1252
(718) 357-3639
(718) 357-3639
Mailing address
15253 10TH AVE, WHITESTONE, NY 11357-1252
(718) 357-3639
(718) 357-3639
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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