Provider Demographics
NPI:1730346768
Name:GORDON-ELLIOTT, JANNA SALANT (MD)
Entity type:Individual
Prefix:DR
First Name:JANNA
Middle Name:SALANT
Last Name:GORDON-ELLIOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:525 E. 68TH STREET, BOX 140
Mailing Address - Street 2:NEW YORK PRESBYTERIAN HOSPITAL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-746-3630
Mailing Address - Fax:212-746-8800
Practice Address - Street 1:525 E. 68TH STREET, 140
Practice Address - Street 2:NEW YORK PRESBYTERIAN HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-746-3630
Practice Address - Fax:212-746-8800
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2453812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry