Individual
EVAN PHILIP SALANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8301
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8301
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
213718
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01961426
—
NY
Enumeration date
07/28/2005
Last updated
08/08/2011
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