Provider Demographics
NPI:1386170660
Name:SALPIETRO, DANYEL (PSY D)
Entity type:Individual
Prefix:
First Name:DANYEL
Middle Name:
Last Name:SALPIETRO
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2171 JERICHO TPKE
Mailing Address - Street 2:150
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-2937
Mailing Address - Country:US
Mailing Address - Phone:631-486-5140
Mailing Address - Fax:631-486-5141
Practice Address - Street 1:2171 JERICHO TPKE
Practice Address - Street 2:345
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-2937
Practice Address - Country:US
Practice Address - Phone:631-486-5140
Practice Address - Fax:631-486-5141
Is Sole Proprietor?:No
Enumeration Date:2017-05-05
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist