Healthcare Provider Details

I. General information

NPI: 1134046923
Provider Name (Legal Business Name): SAMANTHA MELTSNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 W 60TH ST FL 6
NEW YORK NY
10023-7905
US

IV. Provider business mailing address

3000 OCEAN PKWY APT 11N
BROOKLYN NY
11235-8351
US

V. Phone/Fax

Practice location:
  • Phone: 212-227-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: