MEDICARE: RAWN SALENGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	212244	MA
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	232808	NY

General Provider Information

NPI Number	:	1568465516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAWN SALENGER M.D.

Provider Business Mailing Address
First Line	:	257 LAFAYETTE AVE
Second Line	:	SUITE 330
City	:	SUFFERN
State	:	NY
Zip	:	10901-4830
Country	:	US
Telephone Number	:	845-368-8800
Fax Number	:	845-368-5608

Provider Business Practice Location Address
First Line	:	7505 OSLER DR
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-7736
Country	:	US
Telephone Number	:	410-337-1783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	06/11/2021

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