Provider Demographics
NPI:1063568962
Name:MORGAN-SALVADOR, BARBARA (PHD)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:MORGAN-SALVADOR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 TRAFALGAR DR
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-4316
Mailing Address - Country:US
Mailing Address - Phone:631-374-5200
Mailing Address - Fax:631-772-8970
Practice Address - Street 1:62 TRAFALGAR DR
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-4316
Practice Address - Country:US
Practice Address - Phone:631-374-5200
Practice Address - Fax:631-772-8970
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist