Individual
EDWARD J SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER CERTIFIED
Contact information
Practice address
248 W 108TH ST, NEW YORK, NY 10025-2956
(646) 529-6169
Mailing address
248 W 108TH ST, NEW YORK, NY 10025-2956
(646) 529-6169
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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