Provider Demographics
NPI:1316201924
Name:MARION K SALOMON
Entity Type:Organization
Organization Name:MARION K SALOMON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINAMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PONZO-LOZITO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:516-731-5588
Mailing Address - Street 1:3961 DAVID PL
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-1520
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3961 DAVID PL
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-1520
Practice Address - Country:US
Practice Address - Phone:516-785-5288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty