Provider Demographics
NPI:1508213307
Name:SALFI'S OLD-FASHIONED PSYCHIATRY, LLC
Entity Type:Organization
Organization Name:SALFI'S OLD-FASHIONED PSYCHIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE REGISTERED NURSE
Authorized Official - Prefix:MR
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:F
Authorized Official - Last Name:SALFI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:302-354-3543
Mailing Address - Street 1:251 LAKESIDE DR
Mailing Address - Street 2:ATTENTION: SALVATORE SALFI
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-8993
Mailing Address - Country:US
Mailing Address - Phone:302-354-3543
Mailing Address - Fax:
Practice Address - Street 1:251 LAKESIDE DR
Practice Address - Street 2:ATTENTION: SALVATORE SALFI
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-8993
Practice Address - Country:US
Practice Address - Phone:302-354-3543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-21
Last Update Date:2016-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0000123363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty