1487287884 NPI number — ASHRAF SALEM MD PC

Table of content: (NPI 1487287884)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487287884 NPI number — ASHRAF SALEM MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASHRAF SALEM MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PAIN & SPINE SPECIALISTS OF NEW YORK
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487287884
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2152 RALPH AVE # 637
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11234-5406
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
144 E 98TH ST STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11212-3808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-484-1414
Provider Business Practice Location Address Fax Number:
718-701-5744
Provider Enumeration Date:
02/14/2020

Additional Information

Authorized Official

Authorized Official Last Name:
ALI
Authorized Official First Name:
MUDASSAR
Authorized Official Middle Name:
Authorized Official Title or Position:
VP OF FINANCE & OPERATIONS
Authorized Official Telephone Number:
718-484-1444

Provider Taxonomy Codes

  • Taxonomy code: 208VP0014X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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