Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 016186-1 | NY |
NPI | 1033274980 |
---|---|
Provider Name | Dawn Salzman |
First Address | Binghamton, NY 13904-2528 |
Second Address | Johnson City, NY 13790-2106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016186-1 | PHYSICAL THERAPY REGISTRA (01) | NY |