Axelrod, Samantha Halley

Axelrod, Samantha Halley is an sole proprietor health care provider with primary practice located at 10 Vanderbilt Ln , Old Bethpage NY 11804-1730. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Axelrod, Samantha Halley can be contacted via phone (516) 655-3887.

Contact Information

Primary practice address
10 Vanderbilt Ln Old Bethpage NY 11804-1730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1861736316
LBN Legal business name Axelrod, Samantha Halley
Credentials TVI, M.S.ED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2012
Last updated Nov 23rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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