Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 01063807A | IN |
N | 208000000X | Pediatrician | 250223 | NY |
N | 2080P0208X | Pediatric Infectious Diseases | 01063807A | IN |
Y | 2080P0208X | Pediatric Infectious Diseases | 250223 | NY |
NPI | 1609054956 |
---|---|
Provider Name | Christine Maria Salvatore |
First Address | New York, NY 10021 |
Second Address | New York, NY 10021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2008 |
Last Update Date | 23/01/2012 |