Most Relevant Information
Provider Data
| NPI Number: | 1003388661 |
| Provider Name: | SAMANTHA BASSETT CASAC, MHC-LP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 32700 |
Most Important Dates
| Enumeration Date: | 12/20/2018 |
| Last Updated: | 12/20/2018 |
Provider Practice Location
175 FULTON AVE STE 300
HEMPSTEAD
NY
115503702
Practice Location Phone/Fax
| Phone: | 5164810052 |
| Fax: | 5164812115 |
Provider Mailing Location
175 FULTON AVE STE 300
HEMPSTEAD
NY
115503702
Provider Mailing Phone/Fax
| Phone: | 5164810052 |
| Fax: | 5164812115 |