Organization
SALUD MEDICAL OFFICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED A AVILA MD (PRESIDENT)
(212) 928-1125
Entity
Organization
Contact information
Practice address
2088 AMSTERDAM AVE, 2ND FLOOR, NEW YORK, NY 10032-5015
(212) 928-1125
(212) 928-1144
Mailing address
2088 AMSTERDAM AVE, 2ND FLOOR, NEW YORK, NY 10032-5015
(212) 928-1125
(212) 928-1144
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
118487
NY
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01139202
—
NY
01
—
118487
LICENSE
NY
Enumeration date
12/10/2012
Last updated
03/07/2023
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