Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 1123 | MA |
Y | 111NN0400X | Neurology | 5229 | NY |
N | 111NN0400X | Neurology | 5392 | FL |
NPI | 1962687400 |
---|---|
Provider Name | Dr. Susan M Salzberg |
First Address | Flushing, NY 11358-2645 |
Second Address | Flushing, NY 11358-2645 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2008 |
Last Update Date | 03/01/2008 |