Provider Demographics
NPI:1033961529
Name:SALCEDO, ALLEN ABELLANA (RN)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:ABELLANA
Last Name:SALCEDO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2957 MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5507
Mailing Address - Country:US
Mailing Address - Phone:438-406-2032
Mailing Address - Fax:
Practice Address - Street 1:2957 MORGAN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5507
Practice Address - Country:US
Practice Address - Phone:438-406-2032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY837886163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse