Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 180765 | NY |
NPI | 1033284823 |
---|---|
Provider Name | Salim Ghulam Contractor |
First Address | Hudson, NY 12534-2907 |
Second Address | Hudson, NY 12534-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 19/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01605912 | (05) | NY |
F22007 | (02) | |
P00865490 | RAILROAD MEDICARE (01) | NY |