| Doctor Name: | MS. ALEXANDRA SALAZAR |
| NPI Number: | 1053641035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, CDE, CDN |
| License Number: | 929090 |
| Business Practice Address: | 47 Beechwood Dr Manorville, NY - 119492959 |
| Business Phone Number: | 9176560242 |
| Business Fax Number: | |
| Mailing Address: | 47 Beechwood Dr, MANORVILLE |
| State: | NY |
| Postal Code: | 119492959 |
| Phone Number: | 9176560242 |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2010 |
| NPI Last Update Date: | 05/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | 929090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |