Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 166311 | NY |
NPI | 1750499810 |
---|---|
Provider Name | Dr. Michael Lawrence Salitan |
First Address | New York, NY 10012-3231 |
Second Address | New York, NY 10012-3231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 29/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E44658 | (02) | NY |