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NPI Code Detail

MEDICARE: CONY V SALAMA MOHAMED SALAMA RN

MEDICARE: CONY V SALAMA MOHAMED SALAMA RN
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
1163WS0200XSchool Registered Nurse698105NY

General Provider Information

NPI Number : 1407649817
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONY V SALAMA MOHAMED SALAMA RN
Provider Business Mailing Address
First Line : 285 MYRTLE AVE
Second Line :
City : NEW MILFORD
State : NJ
Zip : 07646-1911
Country : US
Telephone Number : 212-376-6573
Fax Number :
Provider Business Practice Location Address
First Line : 285 MYRTLE AVE
Second Line :
City : NEW MILFORD
State : NJ
Zip : 07646-1911
Country : US
Telephone Number : 212-376-6573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2025
Last Update Date : 05/28/2025

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