Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D83160 | MD |
Y | 2080N0001X | Neonatal-Perinatal Doctor | D83160 | MD |
NPI | 1104104629 |
---|---|
Provider Name | Joan Salnave |
First Address | Westbury, NY 11590-2823 |
Second Address | Silver Spring, MD 20910-1460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2011 |
Last Update Date | 17/03/2018 |