MEDICARE: HILDA SALTOS LCSW

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	1041C0700X	Clinical Social Worker	080487	NY

General Provider Information

NPI Number	:	1508323494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILDA SALTOS LCSW

Provider Business Mailing Address
First Line	:	55 CONSTANCE WAY W
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14612-2747
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2480 BROWNCROFT BLVD STE 248
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14625-1435
Country	:	US
Telephone Number	:	585-880-4235
Fax Number	:

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

Provider Enumeration Date	:	02/27/2019
Last Update Date	:	07/01/2023

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