Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | F340360 | NY |
NPI | 1023103116 |
---|---|
Provider Name | Ms. Judith Ann Salotti |
First Address | Geneva, NY 14456-1133 |
Second Address | Geneva, NY 14456-1133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 01/02/2010 |