Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 265454 | NY |
Y | 207N00000X | Dermatologist | MD456279 | PA |
N | 207NP0225X | Pediatric Dermatologist | 265454 | NY |
NPI | 1053593814 |
---|---|
Provider Name | Dr. Heather Leanne Salvaggio |
First Address | York, PA 17402-4643 |
Second Address | York, PA 17402-4643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2007 |
Last Update Date | 12/08/2016 |