Individual
DR. JACQUELINE SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 SAINT NICHOLAS AVE, 2ND FLOOR, NEW YORK, NY 10032
(212) 851-5494
(212) 851-5493
Mailing address
1150 SAINT NICHOLAS AVE, 2ND FLOOR, NEW YORK, NY 10032-3822
(212) 851-5494
(212) 851-5493
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
183299-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01400917
—
NY
Enumeration date
07/18/2006
Last updated
08/22/2018
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