Organization
ADC PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J SALAMON (SENIOR DIRECTOR)
(516) 596-0073
Entity
Organization
Contact information
Practice address
1728 BROADWAY, SUITE # 1, HEWLETT, NY 11557-1630
(516) 596-0073
(516) 599-5698
Mailing address
1728 BROADWAY, SUITE # 1, HEWLETT, NY 11557-1630
(516) 596-0073
(516) 599-5698
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
010847
NY
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
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