Provider Demographics
NPI:1033591557
Name:SALMON-VECCI, HILDIE
Entity Type:Individual
Prefix:
First Name:HILDIE
Middle Name:
Last Name:SALMON-VECCI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 MONTAGUE ST.
Mailing Address - Street 2:THE JEWISH BOARD, 8TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:718-488-0100
Mailing Address - Fax:
Practice Address - Street 1:308 STERLING ST
Practice Address - Street 2:4C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-4261
Practice Address - Country:US
Practice Address - Phone:347-856-4254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-20
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program