Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD TRACY SALL, MD,DDS
ActiveDR. EDWARD TRACY SALL, MD,DDS is a Otology & Neurotology healthcare provider located in FAYETTEVILLE, New York. NPI 1710961198 is currently active in the NPPES registry. Verify at CMS.
Otology & Neurotology · FAYETTEVILLE, NY
Registration Details
- NPI Number
- 1710961198
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2005 (20.522073434025 yrs)
- Last Updated
- Jun 18, 2024
- Licenses
-
104553 (CA)181365 (NY)
Practice Information
- Address
-
4000 MEDICAL CENTER DR.STE 404FAYETTEVILLE, NY, 13066Browse NY providers · Browse ZIP 13066
- Phone
- 3152349865
- Primary Specialty
-
Otology & Neurotology
207YX0602X
- Additional Specialty
- Otology & Neurotology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.