Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 262068 | NY |
NPI | 1275744583 |
---|---|
Provider Name | Dr. Omar Saleem |
First Address | Merrick, NY 11566-3745 |
Second Address | Mineola, NY 11501-2616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 13/11/2020 |