Healthcare Provider Details

I. General information

NPI: 1598755480
Provider Name (Legal Business Name): THOMAS PATRICK SALMON D.P.M. F.A.C.F.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 10/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 HEMPSTEAD TPKE SUITE 100 WEST WING
BETHPAGE NY
11714-5700
US

IV. Provider business mailing address

4230 HEMPSTEAD TPKE SUITE 100 WEST WING
BETHPAGE NY
11714-5700
US

V. Phone/Fax

Practice location:
  • Phone: 516-796-7800
  • Fax: 516-796-7082
Mailing address:
  • Phone: 516-796-7800
  • Fax: 516-796-7082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberN004485
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: