Provider Demographics
NPI:1881015683
Name:SALUDBERRY MEDICAL PC
Entity Type:Organization
Organization Name:SALUDBERRY MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-781-5891
Mailing Address - Street 1:PO BOX 40110
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-0110
Mailing Address - Country:US
Mailing Address - Phone:212-781-5891
Mailing Address - Fax:212-781-6053
Practice Address - Street 1:129 WADSWORTH AVE
Practice Address - Street 2:STE 4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-4828
Practice Address - Country:US
Practice Address - Phone:212-781-5991
Practice Address - Fax:212-781-6053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty