Basic Information
| Provider Information | |||||||||
| NPI: | 1992855654 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SALVATORIELLO | ||||||||
| FirstName: | NORA | ||||||||
| MiddleName: | CUISON | ||||||||
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| OtherOrganizationName: | |||||||||
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| OtherLastName: | CUISON | ||||||||
| OtherFirstName: | NORA | ||||||||
| OtherMiddleName: | CARVAJAL | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 26 DICK ST | ||||||||
| Address2: | |||||||||
| City: | BERGENFIELD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076211215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795717 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | #26 DICK STREET | ||||||||
| Address2: | |||||||||
| City: | BERGENFIELD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07621 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795717 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/12/2007 | ||||||||
| LastUpdateDate: | 02/24/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | F303454-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.