Healthcare Provider Details

I. General information

NPI: 1487666251
Provider Name (Legal Business Name): DANA S SALGADO OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA SHALINI LEVESTON OD

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 03/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1692 CENTRAL AVE
ALBANY NY
12205-4045
US

IV. Provider business mailing address

1692 CENTRAL AVE
ALBANY NY
12205-4045
US

V. Phone/Fax

Practice location:
  • Phone: 518-869-2560
  • Fax: 518-869-2580
Mailing address:
  • Phone: 518-869-2560
  • Fax: 518-869-2580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV007008
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: