Provider Demographics
NPI:1851382089
Name:SALTMAN, ADAM E (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:E
Last Name:SALTMAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1366 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-5418
Mailing Address - Country:US
Mailing Address - Phone:718-377-7218
Mailing Address - Fax:718-677-6639
Practice Address - Street 1:1366 E 32ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-5418
Practice Address - Country:US
Practice Address - Phone:718-377-7218
Practice Address - Fax:718-677-6639
Is Sole Proprietor?:No
Enumeration Date:2005-11-05
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77227208G00000X
NY212922208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1919113Medicaid
NY1919113Medicaid