Individual
MAURICIO SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1829 GRAND AVE, NORTH BALDWIN, NY 11510-2453
(516) 632-2092
(516) 378-1051
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
(512) 522-8836
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007769
NY
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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