Provider Demographics
NPI:1306602719
Name:SALAWAY, DANIEL M (MS, MT-BC, LCAT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:M
Last Name:SALAWAY
Suffix:
Gender:M
Credentials:MS, MT-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WINDJAMMER XING
Mailing Address - Street 2:
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-2953
Mailing Address - Country:US
Mailing Address - Phone:631-514-9564
Mailing Address - Fax:
Practice Address - Street 1:7 WINDJAMMER XING
Practice Address - Street 2:
Practice Address - City:MANORVILLE
Practice Address - State:NY
Practice Address - Zip Code:11949-2953
Practice Address - Country:US
Practice Address - Phone:631-514-9564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15588225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist