Individual
DR. DORON AMSALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 RIVERSIDE DR, NEW YORK, NY 10032-1007
(646) 774-8049
Mailing address
160 W 66TH ST APT 25A, NEW YORK, NY 10023-6559
(929) 404-8802
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P112193
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P112193
NEW YORK STATE MEDICAL LICENSE
NY
Enumeration date
01/13/2022
Last updated
01/13/2022
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