Massa, Salvatore Peter

Massa, Salvatore Peter is an individual health care provider with primary practice located at 250 Tuytenbridge Rd , Lake Katrine NY 12449-5429. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Massa, Salvatore Peter can be contacted via phone (845) 336-7235.

Contact Information

Primary practice address
250 Tuytenbridge Rd Lake Katrine NY 12449-5429
Phone: (845) 336-7235
Fax: (845) 336-4726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 009760 New York

Profile Details

NPI number 1194947192
LBN Legal business name Massa, Salvatore Peter
Credentials PHD NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194947192 NPPES
New York MEDICAID 00473001

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