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NPI Code Detail

MEDICARE: DR. SALIM SOUID M.D

MEDICARE: DR. SALIM SOUID M.D
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics Physician249440NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1249440-1OTHERNYLICENSE#

General Provider Information

NPI Number : 1689869067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALIM SOUID M.D
Provider Business Mailing Address
First Line : 2311 CONEY ISLAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-3337
Country : US
Telephone Number : 718-710-1170
Fax Number :
Provider Business Practice Location Address
First Line : 2311 CONEY ISLAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-3337
Country : US
Telephone Number : 718-710-1170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2007
Last Update Date : 03/15/2013

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Directions to “ DR. SALIM SOUID M.D” Practice Location

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