Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 246666 | NY |
NPI | 1144517921 |
---|---|
Provider Name | Ghadir Salame |
First Address | Brooklyn, NY 11220-5350 |
Second Address | Brooklyn, NY 11220-5350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 31/03/2021 |