Healthcare Provider Details

I. General information

NPI: 1619190964
Provider Name (Legal Business Name): ERLINDA SALCEDO RIZZO BSMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERLINDA SALCEDO RIZZO BSMT

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 BOWERY STE B205
NEW YORK NY
10002-6745
US

IV. Provider business mailing address

33 BOWERY STE B205
NEW YORK NY
10002-6745
US

V. Phone/Fax

Practice location:
  • Phone: 212-431-4200
  • Fax: 212-625-9338
Mailing address:
  • Phone: 212-431-4200
  • Fax: 212-625-9338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: