Provider Demographics
NPI:1104008036
Name:STEVEN D SALSBURG MD PC
Entity Type:Organization
Organization Name:STEVEN D SALSBURG MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SALSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-734-1281
Mailing Address - Street 1:443 BECKWITH RD
Mailing Address - Street 2:
Mailing Address - City:PINE CITY
Mailing Address - State:NY
Mailing Address - Zip Code:14871-9554
Mailing Address - Country:US
Mailing Address - Phone:607-734-1281
Mailing Address - Fax:
Practice Address - Street 1:382 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-2621
Practice Address - Country:US
Practice Address - Phone:607-733-2694
Practice Address - Fax:607-733-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102111207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty