Provider Demographics
NPI:1245417633
Name:PHILIP SALTIEL, MD PC
Entity Type:Organization
Organization Name:PHILIP SALTIEL, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-223-2920
Mailing Address - Street 1:150 E 58TH ST
Mailing Address - Street 2:FLOOR 25
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10155-0002
Mailing Address - Country:US
Mailing Address - Phone:212-223-2920
Mailing Address - Fax:212-223-2390
Practice Address - Street 1:150 E 58TH ST
Practice Address - Street 2:FLOOR 25
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10155-0002
Practice Address - Country:US
Practice Address - Phone:212-223-2920
Practice Address - Fax:212-223-2390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1972872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEM081Medicare PIN