Organization
BISSALAM MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUQMAN O SALAHUDEEN MD (PHYSICIAN)
(347) 299-7967
Entity
Organization
Contact information
Practice address
3391 3RD AVE STE 1, BRONX, NY 10456-5355
(347) 299-7967
Mailing address
PO BOX 783, BRONX, NY 10456-0525
(347) 299-7967
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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