=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942154836
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MR SAM A STEP AT A TIME
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2026
-----------------------------------------------------
Last Update Date | 02/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 77 S FRANKLIN ST UNIT 113
-----------------------------------------------------
City | NYACK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10960-3781
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-546-8808
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 77 S FRANKLIN ST UNIT 113
-----------------------------------------------------
City | NYACK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10960-3781
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-546-8808
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PHARES SAMA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 845-546-8808
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------