Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 254597 | NY |
N | 2084N0600X | Clinical Neurophysiologist | 254597 | NY |
NPI | 1639336480 |
---|---|
Provider Name | Dr. Corinne Salanson-Lajos |
First Address | New York, NY 10032 |
Second Address | New York, NY 10032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 18/01/2012 |