MEDICARE: SHERIF EL-SALAWY MEDICAL. P.C

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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	272366	NY

General Provider Information

NPI Number	:	1871922575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERIF EL-SALAWY MEDICAL. P.C

Provider Business Mailing Address
First Line	:	239 COURT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-6592
Country	:	US
Telephone Number	:	352-514-5211
Fax Number	:	718-228-6485

Provider Business Practice Location Address
First Line	:	1491 BROADWAY
Second Line	:	3RD FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11221-4237
Country	:	US
Telephone Number	:	718-213-1305
Fax Number	:	718-708-6565

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SHERIF M EL-SALAWY
Credential	:	MD
Telephone Number	:	352-514-5211

Provider Enumeration Date	:	11/04/2013
Last Update Date	:	11/04/2013

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