| Doctor Name: | MR. AARON MICHAEL SAMUELS |
| NPI Number: | 1033591482 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.M.S.W. |
| License Number: | 093333 |
| Business Practice Address: | 950 S Oyster Bay Rd Hicksville, NY - 118013510 |
| Business Phone Number: | 5168226111 |
| Business Fax Number: | |
| Mailing Address: | 2091 Loines Ave, MERRICK |
| State: | NY |
| Postal Code: | 115663209 |
| Phone Number: | 5162971711 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2015 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 093333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |