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1275576241
ETTALEE SAMEK PASS
SMITHTOWN, NY
NPI
1275576241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: NY 011597)
Enumeration Date
2006-06-14
Last Update Date
2010-02-07
Business Address
DR. ETTALEE SAMEK PASS PH.D.
29 MANOR RD
SMITHTOWN, NY 11787-2714
Phone number: 631-265-8873
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Mailing Address
DR. ETTALEE SAMEK PASS PH.D.
29 MANOR RD
SMITHTOWN, NY 11787-2752
Phone number: 631-265-8873
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