Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 148403 | NY |
NPI | 1265502553 |
---|---|
Provider Name | Dr. Salvatore Presti |
First Address | Brooklyn, NY 11201-4824 |
Second Address | Brooklyn, NY 11201-4824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00830740 | (05) | NY |
B10556 | (02) | NY |