Provider Demographics
NPI:1700613726
Name:SALVATORE, AYUMI KEITH ESPINO
Entity type:Individual
Prefix:MRS
First Name:AYUMI KEITH
Middle Name:ESPINO
Last Name:SALVATORE
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 1:1906 RED FOX LN
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-2232
Mailing Address - Country:US
Mailing Address - Phone:813-580-6900
Mailing Address - Fax:
Practice Address - Street 1:14 RESCUE RD
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-4600
Practice Address - Country:US
Practice Address - Phone:813-580-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5246924164W00000X
NY351266164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse