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Individual

NEIL SAMUELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2157 CENTER AVE APT 24, FORT LEE, NJ 07024-5852
(201) 741-9203
Mailing address
2157 CENTER AVE APT 24, FORT LEE, NJ 07024-5852
(201) 741-9203

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
00253046
NJ

Other

Enumeration date
07/23/2025
Last updated
07/23/2025
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