Samantha Halley Axelrod, TVI, M.S.ED
NPI #1861736316 in Old Bethpage, New York
Provider Information
- NPI Number
- 1861736316
- Entity Type
- Individual
- Name
- Samantha Halley Axelrod, TVI, M.S.ED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- TVI, M.S.ED
- Enumeration Date
- Nov 23, 2012
- Last Updated
- Nov 23, 2012
Practice Location
- Address
- 10 VANDERBILT LN
- City
- Old Bethpage
- State
- New York
- ZIP Code
- 11804-1730
- Phone
- (516) 655-3887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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