Provider Demographics
NPI:1992821417
Name:SALGADO, CHARLOTTE LEDDA (DPT)
Entity type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:LEDDA
Last Name:SALGADO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3960 54TH ST
Mailing Address - Street 2:APARTMENT 5C
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-4237
Mailing Address - Country:US
Mailing Address - Phone:917-477-9450
Mailing Address - Fax:
Practice Address - Street 1:3960 54TH ST
Practice Address - Street 2:APARTMENT 5C
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4237
Practice Address - Country:US
Practice Address - Phone:917-477-9450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027920-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist