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Organization

SHANYQ SALOP NP IN PSYCHIATRY PLLC

Active
Other names
Reflection Health
Organization subpart
No

Provider details

NPI number
Authorized official
SHANYQ SALOP NURSE PRACTITIONER (OWNER)
(646) 481-9514
Entity
Organization

Contact information

Practice address
3010 41ST AVE, LONG ISLAND CITY, NY 11101-2814
(646) 481-9514
(718) 210-9735
Mailing address
3010 41ST AVE, LONG ISLAND CITY, NY 11101-2814
(646) 481-9514
(718) 210-9735

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
03/31/2025
Last updated
03/31/2025
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