| Organization Name: | ADC PSYCHOLOGICAL SERVICES PLLC |
| NPI Number: | 1235205360 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J SALAMON (SENIOR DIRECTOR) |
| Mailing Address: | 1728 Broadway Suite # 1 Hewlett |
| State: | NY US |
| Postal Code: | 115571630 |
| Phone Number: | 5165960073 |
| Fax Number: | 5165995698 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 01/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 007842 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |