Individual
MR. WILSON GEOVANNY SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
280 ROUTE 211 E STE 2, MIDDLETOWN, NY 10940-3100
(845) 775-3636
Mailing address
114 W MAIN ST, MIDDLETOWN, NY 10940-4934
(646) 338-3364
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002756
NY
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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