Healthcare Provider Details

I. General information

NPI: 1396503009
Provider Name (Legal Business Name): DR DAVID H SALSBERG, CLINICAL PSYCHOLOGIST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 W 24TH ST FL 10
NEW YORK NY
10010-3543
US

IV. Provider business mailing address

49 W 24TH ST FL 10
NEW YORK NY
10010-3543
US

V. Phone/Fax

Practice location:
  • Phone: 917-439-7397
  • Fax: 917-591-6931
Mailing address:
  • Phone: 917-439-7397
  • Fax: 917-591-6931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID SALSBERG
Title or Position: PRESIDENT
Credential: PSYD
Phone: 917-439-7397