Salas, Theresa Margaret
Salas, Theresa Margaret is an individual health care provider with primary practice located at 1500 Route 112 Bldg 11 Suites A-B, Port Jefferson Station NY 11776-3184. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Salas, Theresa Margaret can be contacted via phone (631) 474-4917.Contact Information
Primary practice address
1500 Route 112 Bldg 11 Suites A-B
Port Jefferson Station NY 11776-3184
Phone: (631) 474-4917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | F 420645-1 | New York |
Profile Details
| NPI number | 1588907026 |
|---|---|
| LBN Legal business name | Salas, Theresa Margaret |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2013 |
| Last updated | Apr 3rd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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