| Doctor Name: | MRS. LORETTA GOODMAN SALVAY |
| NPI Number: | 1003056904 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., F.N.P. |
| License Number: | 335844 |
| Business Practice Address: | 80 Lakewood Ave Monticello, NY - 127012024 |
| Business Phone Number: | 8453235673 |
| Business Fax Number: | |
| Mailing Address: | 13 Maple Ave, WOODRIDGE |
| State: | NY |
| Postal Code: | 127890000 |
| Phone Number: | 8454366147 |
| Fax Number: | 8454366597 |
| NPI Enumeration Date: | 03/05/2009 |
| NPI Last Update Date: | 03/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 335844 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |