Doctor Name: | MR. SALVATORE MICHEAL PULEO |
NPI Number: | 1194809194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CSWR |
License Number: | R013686-1 |
Business Practice Address: | 10589 State Highway 37 Lisbon, NY - 136583250 |
Business Phone Number: | 3153935537 |
Business Fax Number: | |
Mailing Address: | 10589 State Highway 37, LISBON |
State: | NY |
Postal Code: | 136583250 |
Phone Number: | 3153935537 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R013686-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |