Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 421524 | NY |
NPI | 1316606213 |
---|---|
Provider Name | Traci Dawn Salsone |
First Address | Oceanside, NY 11572-5208 |
Second Address | New Hyde Park, NY 11040-1402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2021 |
Last Update Date | 08/12/2021 |