Provider Demographics
NPI:1093942351
Name:SALVACION, ALAN (PT)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:SALVACION
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 E GRASSY SPRAIN RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-2307
Mailing Address - Country:US
Mailing Address - Phone:914-961-9185
Mailing Address - Fax:914-961-9185
Practice Address - Street 1:270 E GRASSY SPRAIN RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-2307
Practice Address - Country:US
Practice Address - Phone:914-961-9185
Practice Address - Fax:914-961-9185
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011910-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist