| Amanda Salazar, Inc | |
|
1563 Montauk Hwy Oakdale NY 11769-1322 | |
| (631) 563-3162 | |
| Not Available |
| Full Name | Amanda Salazar, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1563 Montauk Hwy, Oakdale, New York |
| Authorized Official Name and Position | Amanda Salazar (PSYCHOLOGIST) |
| Authorized Official Contact | 6318343038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Salazar, Inc 1563 Montauk Hwy Oakdale NY 11769-1322 Ph: (631) 563-3162 | Amanda Salazar, Inc 1563 Montauk Hwy Oakdale NY 11769-1322 Ph: (631) 563-3162 |
| NPI Number | 1093288227 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 01/10/2019 |
| Medicare PECOS PAC ID | 6507259116 |
|---|---|
| Medicare Enrollment ID | O20220203000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093288227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Salazar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902379134 PECOS PAC ID: 7315330925 Enrollment ID: I20220203000632 |
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