Provider Demographics
NPI:1588734883
Name:SALAMA, MEIR (MD)
Entity type:Individual
Prefix:DR
First Name:MEIR
Middle Name:
Last Name:SALAMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3584 JEROME AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3060
Mailing Address - Country:US
Mailing Address - Phone:718-231-4443
Mailing Address - Fax:718-708-4821
Practice Address - Street 1:3584 JEROME AVENUE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-231-4443
Practice Address - Fax:719-708-4821
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175708207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01376205Medicaid
NYF22009Medicare UPIN
NY49K901Medicare ID - Type Unspecified