Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 289543 | NY |
N | 208000000X | Pediatrician | MT197519 | PA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 289543 | NY |
NPI | 1023339553 |
---|---|
Provider Name | Dr. Alan Salas |
First Address | New York, NY 10016-6402 |
Second Address | New York, NY 10016-6402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2010 |
Last Update Date | 23/03/2021 |