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NPI Code Detail

MEDICARE: YAAKOV SALOMON

MEDICARE: YAAKOV SALOMON
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
1251S00000XCommunity/Behavioral Health AgencyR018549NY

General Provider Information

NPI Number : 1831498591
Entity Type Code : Organization
Provider Name (Legal Business Name) : YAAKOV SALOMON
Provider Business Mailing Address
First Line : 1145 E 10TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4705
Country : US
Telephone Number : 718-375-0755
Fax Number :
Provider Business Practice Location Address
First Line : 1145 E 10TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4705
Country : US
Telephone Number : 718-375-0755
Fax Number :
Authorized Official
Title or Position : PSYCHOTHERAPIST
Name : MR. YAAKOV SALOMON
Credential : LCSW
Telephone Number : 718-375-0755
Provider Enumeration Date : 03/21/2011
Last Update Date : 03/21/2011

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Directions to “YAAKOV SALOMON ” Practice Location

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