Healthcare Provider Details

I. General information

NPI: 1609045194
Provider Name (Legal Business Name): HUSSEIN K AMIN SALEM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 SOUTH CENTRAL AVENUE
HARTSDALE NY
10530
US

IV. Provider business mailing address

111 E 210TH STREET
BRONX NY
10467
US

V. Phone/Fax

Practice location:
  • Phone: 914-997-1060
  • Fax: 914-997-1099
Mailing address:
  • Phone: 718-405-8020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number107232
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: