Individual
CAROLINA ANDREA SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
887 KELLUM ST, LINDENHURST, NY 11757-1508
(631) 884-3000
Mailing address
133 TARPON AVE, MEDFORD, NY 11763-4427
(631) 405-0461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
04/26/2023
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