Healthcare Provider Details

I. General information

NPI: 1609665918
Provider Name (Legal Business Name): SALIM MIZHER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3347 SPRUCE ST
MOHEGAN LAKE NY
10547-1449
US

IV. Provider business mailing address

3347 SPRUCE ST
MOHEGAN LAKE NY
10547-1449
US

V. Phone/Fax

Practice location:
  • Phone: 914-433-6650
  • Fax:
Mailing address:
  • Phone: 914-433-6650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: