Provider Demographics
NPI:1578333530
Name:SALAZAR, JAZMIN EUGENIA (RN)
Entity Type:Individual
Prefix:
First Name:JAZMIN
Middle Name:EUGENIA
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 WEST 42ND STREET
Mailing Address - Street 2:APT 51N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036
Mailing Address - Country:US
Mailing Address - Phone:646-491-2460
Mailing Address - Fax:
Practice Address - Street 1:28-11 QUEENS PLAZA NORTH
Practice Address - Street 2:FL 5
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101
Practice Address - Country:US
Practice Address - Phone:718-391-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY843300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse