Provider Demographics
NPI:1194140574
Name:SALCEDO-CERON, LIGIA ALEJANDRA
Entity type:Individual
Prefix:MISS
First Name:LIGIA
Middle Name:ALEJANDRA
Last Name:SALCEDO-CERON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235G SPRINGMEADOW DR UNIT G
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-4140
Mailing Address - Country:US
Mailing Address - Phone:631-487-4039
Mailing Address - Fax:
Practice Address - Street 1:235G SPRINGMEADOW DR UNIT G
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-4140
Practice Address - Country:US
Practice Address - Phone:631-487-4039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314871-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse