Healthcare Provider Details

I. General information

NPI: 1710530191
Provider Name (Legal Business Name): HERMION SALAZAR CASACT MASTERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 CORPORATE DR
PEEKSKILL NY
10566-1810
US

IV. Provider business mailing address

44 ABBEY LN UNIT 4111
DANBURY CT
06810-5239
US

V. Phone/Fax

Practice location:
  • Phone: 914-257-3500
  • Fax:
Mailing address:
  • Phone: 191-447-1625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number31691
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: