Ira Louis Salom
Internist Geriatric Medicine
592 Rockaway Ave
Brooklyn
, New York 11212-5539
Ira Louis Salom
Internist Geriatric Medicine
592 Rockaway Ave
Brooklyn
, New York 11212-5539
(718) 345-5794
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Ira Louis Salom
- 592 Rockaway Ave
- Brooklyn, NY
- Zip : 11212-5539
- Fax : (718) 345-5794
- Phone : (718) 345-5000
Second Address
- Ira Louis Salom
- 592 Rockaway Ave
- Brooklyn, NY
- Zip : 11212-5539
- Fax : (718) 345-5794
- Phone : (718) 345-5000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 134798 | NY |
| Y | 111NI0900X | Internist | 134798 | NY |
| N | 207RG0300X | Geriatric Medicine | 134798 | NY |
National Provider Identifier
| NPI | 1124027750 |
|---|---|
| Provider Name | Ira Louis Salom |
| First Address | Brooklyn, NY 11212-5539 |
| Second Address | Brooklyn, NY 11212-5539 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2005 |
| Last Update Date | 10/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 134798 | NY MEDICAL LICENSE (01) | NY |
| 25MA08564600 | NEW JERSEY LICENSE (01) | NJ |
| B87323 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.