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Individual

DR. JOSE SALAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
177 MAIN ST STE 201, HUNTINGTON, NY 11743-6917
(917) 376-4879
Mailing address
17 ROYAL LN, NORTHPORT, NY 11768-3331

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
021806-1
NY

Other

Enumeration date
07/24/2017
Last updated
07/24/2017
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