NPI Profile for Dr EDWARD T SALL in FAYETTEVILLE, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Otolaryngic Allergy |
207YX0602X | 04 | Physician/Otolaryngology | |
Orthodontics and Dentofacial Orthopedics |
1223X0400X |
| 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 |
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| Hospital affiliation(s) |
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EDWARD T SALL
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