Provider Demographics
NPI:1780603399
Name:SALTZMAN, DANA JANE (MD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:JANE
Last Name:SALTZMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
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:212-586-7831
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202506207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01928252Medicaid
NY8H8572Medicare PIN
NYH13520Medicare UPIN