Individual
PRUDENCE SALVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
109 KELVIN AVE, STATEN ISLAND, NY 10306-3743
(347) 831-9333
Mailing address
109 KELVIN AVE, STATEN ISLAND, NY 10306-3743
(347) 831-9333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131624228
—
NY
Enumeration date
05/29/2020
Last updated
05/29/2020
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