Individual
DR. ALISA N SAMUELS-STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
38 POPLAR PL, PORT WASHINGTON, NY 11050-1858
(516) 767-5250
Mailing address
38 POPLAR PL, PORT WASHINGTON, NY 11050-1858
(516) 767-5250
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
015585-1
NY
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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