Organization
ROOSEVELT AVE PAIN MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF K SALEM MD (PRESIDENT/OWNER)
(929) 920-9212
Entity
Organization
Contact information
Practice address
9109 ROOSEVELT AVE # 201, JACKSON HEIGHTS, NY 11372-7995
(718) 433-9293
Mailing address
2152 RALPH AVE # 637, BROOKLYN, NY 11234-5520
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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