Provider Demographics
NPI:1114296878
Name:SALTSMAN CHIROPRACTIC PC
Entity Type:Organization
Organization Name:SALTSMAN CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-681-0334
Mailing Address - Street 1:10 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-2510
Mailing Address - Country:US
Mailing Address - Phone:914-681-0334
Mailing Address - Fax:914-681-0880
Practice Address - Street 1:10 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2510
Practice Address - Country:US
Practice Address - Phone:914-681-0334
Practice Address - Fax:914-681-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-23
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006021-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX45701Medicare PIN