Provider Demographics
NPI:1720143092
Name:CONTI, SALVATORE (L-MC)
Entity Type:Individual
Prefix:MR
First Name:SALVATORE
Middle Name:
Last Name:CONTI
Suffix:
Gender:M
Credentials:L-MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7849
Mailing Address - Country:US
Mailing Address - Phone:212-924-9281
Mailing Address - Fax:212-924-7496
Practice Address - Street 1:147 W 13TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7849
Practice Address - Country:US
Practice Address - Phone:212-924-9281
Practice Address - Fax:212-924-7496
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0018521101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health