Healthcare Provider Details

I. General information

NPI: 1639034820
Provider Name (Legal Business Name): RADIOLOGY SPECIALIST NYC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 SPRING ST APT 5
NEW YORK NY
10012-3913
US

IV. Provider business mailing address

83 SPRING ST APT 5
NEW YORK NY
10012-3913
US

V. Phone/Fax

Practice location:
  • Phone: 212-516-8772
  • Fax: 212-516-8771
Mailing address:
  • Phone: 212-516-8772
  • Fax: 212-516-8771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: AMIR SALEM
Title or Position: OWNER
Credential: MD
Phone: 212-516-8772