Active NPI
Wilson Geovanny Salazar, L. AC.
- Acupuncturist
- Middletown, NY
National Provider Identifier
1649587353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002756
- Practice address
- 280 Route 211 E Ste 2
Middletown, NY 10940-3100 - Phone
- (845) 775-3636
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002756 | NY | Primary |
Addresses
Primary practice location
280 Route 211 E Ste 2
Middletown, NY 10940-3100
Mailing address
114 W Main St
Middletown, NY 10940-4934
Phone (646) 338-3364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002756 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1649587353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 W MAIN ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109404934",
"telephone_number": "646-338-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 ROUTE 211 E STE 2",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109403100",
"telephone_number": "845-775-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "WILSON",
"middle_name": "GEOVANNY",
"name_prefix": "Mr.",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.