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General NPI Number Information
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NPI Number | 1215371679
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Entity Type | Individual
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Provider Name | ABHIJIT LAU SALASKAR MD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2013
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 750 E ADAMS ST
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City | SYRACUSE
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State | NY
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Zip | 13210-2306
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Country | US
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Telephone | 315-464-5189
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Fax | 315-464-7494
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Provider Business Mailing Address
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Address Line | 224 HARRISON ST STE 601
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City | SYRACUSE
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State | NY
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Zip | 13202-3058
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Country | US
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Telephone | 315-464-5660
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Fax | 315-464-7695
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 24357
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 331358
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 24357
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 331358
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License Number State | NY
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