Provider Demographics
NPI:1902117823
Name:SALZMAN, BASSHEVA
Entity Type:Individual
Prefix:
First Name:BASSHEVA
Middle Name:
Last Name:SALZMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 MEEHAN AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5429
Mailing Address - Country:US
Mailing Address - Phone:718-471-2003
Mailing Address - Fax:
Practice Address - Street 1:544 MEEHAN AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5429
Practice Address - Country:US
Practice Address - Phone:718-471-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool