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General NPI Number Information
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NPI Number | 1992848287
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Entity Type | Individual
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Provider Name | ELIJAH ANDREW JACOB SALZER DMSC, PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 1176 5TH AVE MOUNT SINAI MEDICAL CENTER
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City | NEW YORK
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State | NY
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Zip | 10029-6503
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Country | US
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Telephone | 212-423-2145
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Fax |
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Provider Business Mailing Address
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Address Line | 2426 EASTCHESTER RD STE 208
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City | BRONX
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State | NY
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Zip | 10469-5950
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Country | US
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Telephone | 718-708-5650
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 004570
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 004570
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License Number State | NY
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