Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 204738 | NY |
NPI | 1679844666 |
---|---|
Provider Name | Dr. Michael Francis Salvana |
First Address | Utica, NY 13502-3803 |
Second Address | Utica, NY 13502-3803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2012 |
Last Update Date | 23/01/2012 |