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NPI Code Detail

MEDICARE: SURIE SALAMON

MEDICARE: SURIE SALAMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1528727708
Entity Type Code : Individual
Provider Name (Legal Business Name) : SURIE SALAMON
Provider Business Mailing Address
First Line : 1564 58TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4747
Country : US
Telephone Number : 347-623-9054
Fax Number :
Provider Business Practice Location Address
First Line : 1398 CARROLL ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-4404
Country : US
Telephone Number : 347-623-9054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2021
Last Update Date : 12/15/2021

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Directions to “ SURIE SALAMON ” Practice Location

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