Provider Demographics
NPI:1609685619
Name:SALVATIERRA, EMILY
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:SALVATIERRA
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 1:6 LEEWOOD CIR APT 1R
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-1919
Mailing Address - Country:US
Mailing Address - Phone:914-960-4516
Mailing Address - Fax:
Practice Address - Street 1:6 LEEWOOD CIR APT 1R
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-1919
Practice Address - Country:US
Practice Address - Phone:914-960-4516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7345235Z00000X
NY034299235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist