Individual
DR. SALVATORE PETER MASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD NCSP
Contact information
Practice address
250 TUYTENBRIDGE RD, LAKE KATRINE, NY 12449-5429
(845) 336-7235
(845) 336-4726
Mailing address
55 RIVERVIEW TER, KINGSTON, NY 12401-6959
(845) 336-5366
(845) 758-5745
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009760
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473001
—
NY
Enumeration date
05/02/2007
Last updated
07/08/2007
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