Provider Demographics
NPI:1194917757
Name:SALZER, JENNIFER E (DDS)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:SALZER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E 63RD ST APT E5D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7829
Mailing Address - Country:US
Mailing Address - Phone:212-319-9311
Mailing Address - Fax:
Practice Address - Street 1:553 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8108
Practice Address - Country:US
Practice Address - Phone:212-755-2333
Practice Address - Fax:212-935-0352
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047402-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics