Individual
DR. VIVENCIO LEE SALCEDO JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CASTLE POINT RD, ROUTE 9, CASTLE POINT, NY 12511
(845) 831-2000
(845) 838-5184
Mailing address
21 CONVERSE LN, MELROSE, MA 02176-5101
(781) 665-8517
(781) 665-8517
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
11618
ME
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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