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General NPI Number Information
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NPI Number | 1336713577
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Entity Type | Organization
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Legal Business Name | EJ SALAZAR MEDICAL PLLC
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 234 NORTH CENTRAL PARK AVE. SUITE 201
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City | HARTSDALE
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State | NY
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Zip | 10530
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Country | US
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Telephone | 914-229-3390
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Fax | 914-229-3395
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Provider Business Mailing Address
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Address Line | 234 NORTH CENTRAL PARK AVE. SUITE 201
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City | HARTSDALE
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State | NY
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Zip | 10530
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Country | US
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Telephone | 914-229-3390
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Fax | 914-229-3395
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. EDGARD J. SALAZAR
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Credential | MD
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Telephone | 914-229-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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