Provider Demographics
NPI:1629126628
Name:SALTZMAN, BRIAN ROY (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ROY
Last Name:SALTZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44E 67TH ST 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6149
Mailing Address - Country:US
Mailing Address - Phone:212-777-1600
Mailing Address - Fax:212-777-2455
Practice Address - Street 1:41 5TH AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4319
Practice Address - Country:US
Practice Address - Phone:212-777-1600
Practice Address - Fax:212-475-4272
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159703207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE62360Medicare UPIN