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Individual

DR. FAWZY W. SALAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
175 JERICHO TPKE STE 114, 114, SYOSSET, NY 11791-4501
(516) 558-7353
(516) 558-7354
Mailing address
175 JERICHO TURNPIKE 114, 114, SYOSSET, NY 11791
(516) 558-7353
(516) 558-7354

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
197603
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01714272
NY
Enumeration date
06/07/2006
Last updated
11/13/2014
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