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Contact Information

EDWARD T SALL, MD,DDS
4000 MEDICAL CENTER DR.
STE 404
FAYETTEVILLE, NY13066
 Phone: 315-234-9865
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngic Allergy

207YX0602X 04 Physician/Otolaryngology
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for EDWARD T SALL · (Male)

NPI # 1710961198
Status Active
Credentials MD,DDS
Entity Individual
Enumeration date 11/30/2005
Last updated 06/18/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 104553
  • NY License # 181365
Hospital affiliation(s)
  • CROUSE HOSPITAL - (Acute Care)
    736 IRVING AVENUE
    SYRACUSE, NY 13210
  • CROUSE HOSPITAL - (Acute Care)
    736 IRVING AVENUE
    SYRACUSE, NY 13210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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