Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1093076051 |
---|---|
Provider Name | Cheryl Salamon |
First Address | Brooklyn, NY 11218-3612 |
Second Address | Brooklyn, NY 11218-3612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 06/06/2012 |