# ADC PSYCHOLOGICAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235205360
- **Authorized official:** DR. MICHAEL J SALAMON (SENIOR DIRECTOR)
- **Authorized official phone:** (516) 596-0073

## Contact information

- **Practice address:** 1728 BROADWAY, SUITE \# 1, HEWLETT, NY 11557-1630
- **Practice address phone:** (516) 596-0073
- **Practice address fax:** (516) 599-5698
- **Mailing address:** 1728 BROADWAY, SUITE \# 1, HEWLETT, NY 11557-1630
- **Mailing address phone:** (516) 596-0073
- **Mailing address fax:** (516) 599-5698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0700X | Adult Development & Aging Psychologist | 010847 | NY | Yes |
| 103TC0700X | Clinical Psychologist | 007842 | NY | — |
| 103TC0700X | Clinical Psychologist | 010263 | NY | — |
| 1041C0700X | Clinical Social Worker | R0318131 | NY | — |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 01/13/2009