| Salemmd | |
|
445 77th St Brooklyn NY 11209-3205 | |
| (770) 999-9887 | |
| Not Available |
| Full Name | Salemmd |
|---|---|
| Speciality | Clinic/Center |
| Location | 445 77th St, Brooklyn, New York |
| Authorized Official Name and Position | Mahmoud Salem (OWNER) |
| Authorized Official Contact | 9173615973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salemmd 7039 Narrows Ave Brooklyn NY 11209-1038 Ph: () - | Salemmd 445 77th St Brooklyn NY 11209-3205 Ph: (770) 999-9887 |
| NPI Number | 1427837350 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 8123463767 |
|---|---|
| Medicare Enrollment ID | O20240305002179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427837350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mahmoud I Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023403797 PECOS PAC ID: 6204181597 Enrollment ID: I20180608000770 |
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