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NPI Code Detail

MEDICARE: AMAL A SALEM MSED

MEDICARE:   AMAL A SALEM  MSED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1063287662
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAL A SALEM MSED
Provider Business Mailing Address
First Line : 2315 BRIGHAM ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5511
Country : US
Telephone Number : 917-651-1556
Fax Number :
Provider Business Practice Location Address
First Line : 2315 BRIGHAM ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5511
Country : US
Telephone Number : 917-651-1556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2023
Last Update Date : 11/24/2023

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Directions to “ AMAL A SALEM MSED” Practice Location

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