Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | X2749 | NY |
Y | 111NN1001X | Nutrition | X2749 | NY |
N | 111NR0400X | Rehabilitation Chiropractor | X2749 | NY |
N | 111NS0005X | Chiropractic Sports Physician | X2749 | NY |
N | 111NX0800X | Chiropractor Orthopedic Specialist | X2749 | NY |
NPI | 1508186636 |
---|---|
Provider Name | Dr. Neil Salka |
First Address | New City, NY 10956-3561 |
Second Address | New City, NY 10956-3561 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2010 |
Last Update Date | 11/06/2010 |