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General NPI Number Information
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NPI Number | 1689510018
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Entity Type | Organization
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Legal Business Name | SANNA SALAM MEDICAL PC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 6417 BROADWAY
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City | WOODSIDE
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State | NY
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Zip | 11377-2336
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Country | US
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Telephone | 917-238-6594
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Fax | 978-307-5724
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Provider Business Mailing Address
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Address Line | 17415 JEWEL AVE
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-3425
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Country | US
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Telephone | 917-238-6594
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Fax | 978-307-5724
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANNA SALAM
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Credential | MD
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Telephone | 917-238-6594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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