Provider Demographics
NPI:1811288996
Name:SALVATORE PASQUALE MD PC
Entity type:Organization
Organization Name:SALVATORE PASQUALE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASQUALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-271-8700
Mailing Address - Street 1:35 S RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-2653
Mailing Address - Country:US
Mailing Address - Phone:914-271-8700
Mailing Address - Fax:914-346-5176
Practice Address - Street 1:35 S RIVERSIDE AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-2653
Practice Address - Country:US
Practice Address - Phone:914-271-8700
Practice Address - Fax:914-346-5176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189735207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty