Healthcare Provider Details

I. General information

NPI: 1750220885
Provider Name (Legal Business Name): MS. ZENAIDA SALLE MACALIMBON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56-30 MYRTLE AVE
RIDGEWOOD NY
11385
US

IV. Provider business mailing address

56-30 MYRTLE AVE
RIDGEWOOD NY
11385
US

V. Phone/Fax

Practice location:
  • Phone: 718-400-7500
  • Fax:
Mailing address:
  • Phone: 718-400-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number013364-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: