Individual
LEA GAIL SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1100
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
263662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03650415
—
NY
Enumeration date
04/02/2010
Last updated
02/03/2015
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