Ej Salazar Medical Pllc | |
234 North Central Park Ave. Suite 201 Hartsdale NY 10530 | |
(914) 229-3390 | |
(914) 229-3395 |
Full Name | Ej Salazar Medical Pllc |
---|---|
Speciality | Clinic/Center |
Location | 234 North Central Park Ave., Hartsdale, New York |
Authorized Official Name and Position | Edgard J. Salazar (PHYSICIAN) |
Authorized Official Contact | 9142293390 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ej Salazar Medical Pllc 234 North Central Park Ave. Suite 201 Hartsdale NY 10530 Ph: (914) 229-3390 | Ej Salazar Medical Pllc 234 North Central Park Ave. Suite 201 Hartsdale NY 10530 Ph: (914) 229-3390 |
NPI Number | 1336713577 |
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Provider Enumeration Date | 05/13/2021 |
Last Update Date | 05/13/2021 |
Medicare PECOS PAC ID | 6800262809 |
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Medicare Enrollment ID | O20221017001017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336713577 | NPI | - | NPPES |
1467785139 | Other | NY | NPPS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Edgard Salazar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467785139 PECOS PAC ID: 5991931941 Enrollment ID: I20140612001499 |
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