Individual
DR. MOHAMED S ALSALAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 DRIVING PARK AVE, NEWARK, NY 14513-1059
(315) 359-2130
(315) 359-2139
Mailing address
1304 DRIVING PARK AVE, NEWARK, NY 14513-1059
(315) 359-2130
(315) 359-2139
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
237763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881605749
—
NY
01
—
P00374128
RAILROAD MEDICARE
NY
Enumeration date
08/10/2006
Last updated
04/19/2021
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