Individual
JERRY SALCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2840 BAILEY AVE APT B21, BRONX, NY 10463-7239
(347) 730-2582
Mailing address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
(347) 730-2582
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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