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SALUS MED NEW YORK PC NPI 1992844120


NPI Information

NPI: 1992844120
Provider Name: SALUS MED NEW YORK PC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1090 AMSTERDAM AVE
SUITE 5F
NEW YORK, NY
ZIP 10025
Phone: (646) 409-3557
Get Directions

SALUS MED NEW YORK PC is a geriatric medicine internal medicine in New York, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. SALUS MED NEW YORK PC NPI is 1992844120. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1090 AMSTERDAM AVE
SUITE 5F
NEW YORK, NY
ZIP 10025-737
Phone: (646) 409-3557

The provider's authorized official is Raymond Manzano Villongco .
The authorized official title is Ceo and has the following contact phone number (646) 351-6473.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine220788NEW YORKNo
2207RG0300XInternal MedicineGeriatric Medicine220788NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G23390MEDICARE UPIN
201722150MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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