Provider Demographics
NPI:1710080668
Name:DANA JANE SALTZMAN MD PC
Entity Type:Organization
Organization Name:DANA JANE SALTZMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:SALTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-586-7830
Mailing Address - Street 1:33 W 46TH ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4103
Mailing Address - Country:US
Mailing Address - Phone:212-586-7830
Mailing Address - Fax:
Practice Address - Street 1:33 W 46TH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4103
Practice Address - Country:US
Practice Address - Phone:212-586-7830
Practice Address - Fax:212-586-7831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01928252Medicaid
NYWLW801Medicare PIN
NY8H8572Medicare PIN
NY01928252Medicaid