Individual
MRS. LISA SALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25707 149TH RD, ROSEDALE, NY 11422-3022
(171) 852-7497
Mailing address
25707 149TH RD, ROSEDALE, NY 11422-3022
(171) 852-7497
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1100187
NY
Other
Enumeration date
06/15/2013
Last updated
09/30/2013
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