MEDICARE: MS. TONI LYNNE SALERNO REGISTERED NURSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	408192-1	NY

General Provider Information

NPI Number	:	1851665335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TONI LYNNE SALERNO REGISTERED NURSE

Provider Business Mailing Address
First Line	:	1153 BURGOYNE AVE
Second Line	:	SUITE 2
City	:	FORT EDWARD
State	:	NY
Zip	:	12828-1134
Country	:	US
Telephone Number	:	518-746-3340
Fax Number	:

Provider Business Practice Location Address
First Line	:	1153 BURGOYNE AVENUE
Second Line	:	SUITE 2
City	:	FORT EDWARD
State	:	NY
Zip	:	12828-1134
Country	:	US
Telephone Number	:	518-746-3340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2012
Last Update Date	:	03/01/2012

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