| Alicia Salvo Psychological Services Pc | |
|
81 Louden Ave Amityville NY 11701-2736 | |
| (917) 771-2721 | |
| Not Available |
| Full Name | Alicia Salvo Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 81 Louden Ave, Amityville, New York |
| Authorized Official Name and Position | Alicia B Salvo (OWNER) |
| Authorized Official Contact | 9177712721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Salvo Psychological Services Pc 29 Locust Pl Manhasset NY 11030-1823 Ph: (917) 771-2721 | Alicia Salvo Psychological Services Pc 81 Louden Ave Amityville NY 11701-2736 Ph: (917) 771-2721 |
| NPI Number | 1497030423 |
|---|---|
| Provider Enumeration Date | 10/21/2011 |
| Last Update Date | 12/20/2018 |
| Medicare PECOS PAC ID | 1850568502 |
|---|---|
| Medicare Enrollment ID | O20120120000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497030423 | NPI | - | NPPES |
| 02086533 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alicia B Salvo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912996570 PECOS PAC ID: 0749171197 Enrollment ID: I20040323002083 |
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