Dr Ettalee Samek Pass, PHD - Psychologist in Smithtown, NY

Dr Ettalee Samek Pass, PHD is a Psychologist - Clinical based in Smithtown, New York. Dr Ettalee Samek Pass is licensed to practice in New York (license number 011597) and her current practice location is 29 Manor Rd, Smithtown, New York. She can be reached at her office (for appointments etc.) via phone at (631) 265-8873.

NPI number for Dr Ettalee Samek Pass is 1275576241 and her current mailing address is 29 Manor Rd, Smithtown, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275576241.

Contact Information

Dr Ettalee Samek Pass, PHD
29 Manor Rd,
Smithtown, NY 11787-2714
(631) 265-8873
(631) 751-5287

Map and Direction




Healthcare Provider's Profile

Full NameDr Ettalee Samek Pass
GenderFemale
SpecialityPsychologist - Clinical
Location29 Manor Rd, Smithtown, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275576241
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 02/07/2010

Medical Identifiers

Medical identifiers for Dr Ettalee Samek Pass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275576241NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 011597 (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. Dr Ettalee Samek Pass 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 AddressPractice Location Address
Dr Ettalee Samek Pass, PHD
29 Manor Rd,
Smithtown, NY 11787-2752

Ph: (631) 265-8873
Dr Ettalee Samek Pass, PHD
29 Manor Rd,
Smithtown, NY 11787-2714

Ph: (631) 265-8873

Reviews and Comments


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