Individual
ALEXA AMELIA SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 NESCONSET HWY STE 201, LAKE GROVE, NY 11755-1000
(631) 786-8930
(631) 256-5229
Mailing address
34A N COUNTRY RD, MOUNT SINAI, NY 11766-1528
(631) 942-4449
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NY
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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