Provider Demographics
NPI:1215118674
Name:SALERNO QURESHI, MARYANN (SOCIAL WORKER LCSW R)
Entity type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:
Last Name:SALERNO QURESHI
Suffix:
Gender:F
Credentials:SOCIAL WORKER LCSW R
Other - Prefix:MRS
Other - First Name:MARYANN
Other - Middle Name:
Other - Last Name:SALERNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SOCIAL WORKER LCSW R
Mailing Address - Street 1:111 SIXTH AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803
Mailing Address - Country:US
Mailing Address - Phone:914-738-2960
Mailing Address - Fax:
Practice Address - Street 1:87 WOLFS LANE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803
Practice Address - Country:US
Practice Address - Phone:914-484-4802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSWR0146611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical