MEDICARE: DR. THOMAS PATRICK SALMON D.P.M. F.A.C.F.S.

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	213ES0131X	Foot Surgery Podiatrist	N004485	NY

General Provider Information

NPI Number	:	1598755480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS PATRICK SALMON D.P.M. F.A.C.F.S.

Provider Business Mailing Address
First Line	:	4230 HEMPSTEAD TPKE
Second Line	:	SUITE 100 WEST WING
City	:	BETHPAGE
State	:	NY
Zip	:	11714-5700
Country	:	US
Telephone Number	:	516-796-7800
Fax Number	:	516-796-7082

Provider Business Practice Location Address
First Line	:	4230 HEMPSTEAD TPKE
Second Line	:	SUITE 100 WEST WING
City	:	BETHPAGE
State	:	NY
Zip	:	11714-5700
Country	:	US
Telephone Number	:	516-796-7800
Fax Number	:	516-796-7082

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

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	10/31/2011

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