# CHILDREN ADOLESCENT ADULTS NP IN PSYCHIATRY

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

## Provider details

- **NPI number:** 1275398638
- **Authorized official:** ANISSA SALERNO (OWNER OF ENTITY)
- **Authorized official phone:** (301) 241-6070

## Contact information

- **Practice address:** 3700 ROUTE 44, MILLBROOK, NY 12545-5161
- **Practice address phone:** (301) 241-6070
- **Practice address fax:** (570) 410-8110
- **Mailing address:** 117 EDGEWOOD DR, OLD FORGE, PA 18518-1245
- **Mailing address phone:** (301) 241-6070
- **Mailing address fax:** (570) 410-8110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2024
- **Last updated:** 08/01/2024