MEDICARE: SALMA ABDOU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1023675204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALMA ABDOU

Provider Business Mailing Address
First Line	:	454 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4011
Country	:	US
Telephone Number	:	347-921-3250
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 SOUTH AVE STE 300
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3428
Country	:	US
Telephone Number	:	917-533-9455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2019
Last Update Date	:	06/10/2025

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Directions to “ SALMA ABDOU ” Practice Location

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