Provider Demographics
NPI:1003056904
Name:SALVAY, LORETTA GOODMAN (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:LORETTA
Middle Name:GOODMAN
Last Name:SALVAY
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:12789-0000
Mailing Address - Country:US
Mailing Address - Phone:845-436-6147
Mailing Address - Fax:845-436-6597
Practice Address - Street 1:80 LAKEWOOD AVE
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-2024
Practice Address - Country:US
Practice Address - Phone:845-323-5673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335844363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily