Healthcare Provider Details

I. General information

NPI: 1386067577
Provider Name (Legal Business Name): NEW YORK HAND AND WRIST SURGERY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2014
Last Update Date: 01/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 WHITE PLAINS RD SUITE 207
TARRYTOWN NY
10591-5523
US

IV. Provider business mailing address

155 WHITE PLAINS RD SUITE 207
TARRYTOWN NY
10591-5523
US

V. Phone/Fax

Practice location:
  • Phone: 914-366-6139
  • Fax: 866-780-6139
Mailing address:
  • Phone: 914-366-6139
  • Fax: 866-780-6139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number267893
License Number StateNY

VIII. Authorized Official

Name: DR. C ANDREW SALZBERG
Title or Position: PARTNER
Credential: M.D.
Phone: 914-366-6139