Individual
DR. MOHAMED SELLAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3525
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A53382
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
315591-01
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
315591-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A533820
—
CA
Enumeration date
05/18/2006
Last updated
02/06/2025
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