Individual
BIANJELY MERCEDES SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E BETHPAGE RD STE 5, PLAINVIEW, NY 11803-4228
(718) 631-1119
(718) 631-1314
Mailing address
3439 BRUCKNER BLVD, 2F, BRONX, NY 10461
(718) 675-0395
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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