Salom, Ira Louis
Salom, Ira Louis is an individual health care provider with primary practice located at 592 Rockaway Ave , Brooklyn NY 11212-5539. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Clinical Pharmacology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Salom, Ira Louis can be contacted via phone (718) 345-5000.Contact Information
Primary practice address
592 Rockaway Ave
Brooklyn NY 11212-5539
Phone: (718) 345-5000
Fax: (718) 345-5794
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 134798 | New York |
Allopathic & Osteopathic Physicians / Clinical Pharmacology | 208U00000X | 134798 | New York |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 134798 | New York |
Profile Details
NPI number | 1124027750 |
---|---|
LBN Legal business name | Salom, Ira Louis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2005 |
Last updated | Jan 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124027750 | NPPES |
New Jersey | Other | 25MA08564600 | NEW JERSEY LICENSE |
New Jersey | Other | 134798 | NEW JERSEY LICENSE |
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