Alexa Amelia Samuelson, is a
Marriage & Family Therapist based in Lake Grove, New York. Alexa Amelia Samuelson is licensed to practice in New York (license number ) and her current practice location is
2233 Nesconset Hwy Ste 201, Lake Grove, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 786-8930.
NPI number for Alexa Amelia Samuelson is 1336831817 and her current mailing address is 34a N Country Rd, Mount Sinai, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336831817.
Healthcare Provider's Profile
Full Name | Alexa Amelia Samuelson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 2233 Nesconset Hwy Ste 201, Lake Grove, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336831817
- Provider Enumeration Date: 05/23/2023
- Last Update Date: 05/23/2023
Medical Identifiers
Medical identifiers for Alexa Amelia Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336831817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexa Amelia Samuelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexa Amelia Samuelson, 34a N Country Rd, Mount Sinai, NY 11766-1528 Ph: (631) 942-4449 | Alexa Amelia Samuelson, 2233 Nesconset Hwy Ste 201, Lake Grove, NY 11755-1000 Ph: (631) 786-8930 |
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