Provider Demographics
NPI:1528590338
Name:SALAS, CRISTAL (LMSW)
Entity Type:Individual
Prefix:
First Name:CRISTAL
Middle Name:
Last Name:SALAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3847 ORLOFF AVE
Mailing Address - Street 2:APT 1F
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2600
Mailing Address - Country:US
Mailing Address - Phone:917-659-9368
Mailing Address - Fax:
Practice Address - Street 1:750 ASTOR AVE FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-9304
Practice Address - Country:US
Practice Address - Phone:718-882-5000
Practice Address - Fax:718-798-7633
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker