National Provider Identifier
Sam L Beach
Sam L Beach is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 329-1489.
Profile Overview
- NPI
- 1558080655
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- August 23, 2022
- Last Updated
- August 23, 2022
Practice Location
- 320 N Goodman St
- Rochester, NY 14607-1185
Phone: (585) 329-1489
Mailing Address
- 12 Mount Pleasant Park Apt 2
- Rochester, NY 14608-2966
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1558080655
- Entity Type
- Individual
- Last Name
- Beach
- First Name
- Sam
- Middle Name
- L
- Mailing Street Address
- 12 Mount Pleasant Park Apt 2
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-2966
- Mailing Country
- US
- Mailing Phone
- (585) 489-1438
- Practice Street Address
- 320 N Goodman St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1185
- Practice Country
- US
- Practice Phone
- (585) 329-1489
- Enumeration Date
- August 23, 2022
- Last Updated
- August 23, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 23, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)