Provider Demographics
NPI:1902155278
Name:SALOMON, NADINE
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:SALOMON
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 1:26 MAIN ST
Mailing Address - Street 2:APT. 10 K
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-2823
Mailing Address - Country:US
Mailing Address - Phone:646-450-6129
Mailing Address - Fax:
Practice Address - Street 1:26 MAIN ST
Practice Address - Street 2:APT. 10 K
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-2823
Practice Address - Country:US
Practice Address - Phone:646-450-6129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-02
Last Update Date:2012-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator