Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | X007952 | NY |
NPI | 1497954614 |
---|---|
Provider Name | Anthony Nicholas Salzarulo |
First Address | New York, NY 10022-4503 |
Second Address | New York, NY 10022-4503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2007 |
Last Update Date | 06/01/2020 |