| Samantha Lange, | |
|
92 Willow St, Wheatley Heights, NY 11798-1219 | |
| (631) 560-7509 | |
| Not Available |
| Full Name | Samantha Lange |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 92 Willow St, Wheatley Heights, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932087046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Lange, 92 Willow St, Wheatley Heights, NY 11798-1219 Ph: () - | Samantha Lange, 92 Willow St, Wheatley Heights, NY 11798-1219 Ph: (631) 560-7509 |
Regina Ravenell-carr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Conklin Ave, Wheatley Heights, NY 11798 Phone: 631-885-4197 Fax: 631-920-6264 | |
Mr. Leonard Morlo, MPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Circle Dr, 1, Wheatley Heights, NY 11798 Phone: 718-440-4185 Fax: 631-643-7643 | |
Karen A Vasquez, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 Andrews Ave, Wheatley Heights, NY 11798 Phone: 516-229-1706 |