Individual
MR. DEVON MICHAEL SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA, EMT
Contact information
Practice address
592 HELENA DR, SOUTH HEMPSTEAD, NY 11550-8009
(516) 850-0256
Mailing address
592 HELENA DR, SOUTH HEMPSTEAD, NY 11550-8009
(516) 850-0256
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
422848
NY
376K00000X
Nurse's Aide
Primary
343563270614E
NY
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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