Individual provider · NPI-1

Lucas Resende Salgado, M.D.

· Astoria, NY

NPI number1306231774
StatusActive
Last updated in NPPESFeb 5, 2025

Details

NPI
1306231774
Entity type
Individual (NPI-1)
Name
Lucas Resende Salgado
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 2, 2015
Certification date
Feb 5, 2025
Last updated
Feb 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X 304213NYYes

Practice location

23-22 30th Avenue Level B
Astoria, NY 11102

Phone 718-267-2763

Mailing address

370 Avenue U Apt 3
Brooklyn, NY 11223-4024

Phone 917-514-0552

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