MEDICARE: PAUL SALKIN, MD, PC

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	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659557718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL SALKIN, MD, PC

Provider Business Mailing Address
First Line	:	110 E END AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-7412
Country	:	US
Telephone Number	:	212-737-0136
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 E END AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-7412
Country	:	US
Telephone Number	:	212-737-0136
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL SALKIN
Credential	:	M.D.
Telephone Number	:	212-737-0136

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	01/18/2008

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