Individual
ELBA L SALAMANCA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 215-3337
Mailing address
2 CAMPO AVE, SELDEN, NY 11784-1704
(631) 855-8299
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
429109
NY
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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