Provider Demographics
NPI:1467630772
Name:THOMAS P. SALMON D.P.M.
Entity Type:Organization
Organization Name:THOMAS P. SALMON D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:SALMON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM FACFAS
Authorized Official - Phone:516-796-7800
Mailing Address - Street 1:4230 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE#100
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5700
Mailing Address - Country:US
Mailing Address - Phone:516-796-7800
Mailing Address - Fax:516-796-7082
Practice Address - Street 1:4230 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE#100
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5700
Practice Address - Country:US
Practice Address - Phone:516-796-7800
Practice Address - Fax:516-796-7082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004485335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP46441Medicare UPIN
NY5638410001Medicare NSC