Healthcare Provider Details

I. General information

NPI: 1851521991
Provider Name (Legal Business Name): SALIMI MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2009
Last Update Date: 07/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3028 BRIGHTON 7TH ST
BROOKLYN NY
11235
US

IV. Provider business mailing address

PO BOX 240430
BROOKLYN NY
11224
US

V. Phone/Fax

Practice location:
  • Phone: 718-743-7090
  • Fax: 718-648-1328
Mailing address:
  • Phone: 718-743-7090
  • Fax: 718-648-1328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number194072
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALI SALIMI
Title or Position: PRESIDENT
Credential: MD
Phone: 718-743-7090