Individual
MONIKE S SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2581 ATLANTIC AVE, BROOKLYN, NY 11207-2412
(718) 855-4035
Mailing address
14621 BROOKVILLE BLVD FL 1, JAMAICA, NY 11422-3204
(929) 392-3943
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P120641
NY
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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