Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 190339 | NY |
NPI | 1023062973 |
---|---|
Provider Name | Joann N Salvemini |
First Address | Great Neck, NY 11021-5323 |
Second Address | Stony Brook, NY 11790 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 19/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G03668 | (02) |