Pass, Ettalee Samek
Pass, Ettalee Samek is an sole proprietor health care provider with primary practice located at 29 Manor Rd , Smithtown NY 11787-2714. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pass, Ettalee Samek can be contacted via phone (631) 265-8873.Contact Information
Primary practice address
29 Manor Rd
Smithtown NY 11787-2714
Phone: (631) 265-8873
Fax: (631) 751-5287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 011597 | New York |
Profile Details
| NPI number | 1275576241 |
|---|---|
| LBN Legal business name | Pass, Ettalee Samek |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Feb 7th, 2010 - about 14 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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