Doctor Name: | DR. MICHAEL SALAMATBAD |
NPI Number: | 1316104086 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 2494051 |
Business Practice Address: | 212 Middle Neck Rd Suite 7 Great Neck, NY - 110211136 |
Business Phone Number: | 5163191274 |
Business Fax Number: | |
Mailing Address: | 212 Middle Neck Rd, Suite 7 GREAT NECK |
State: | NY |
Postal Code: | 110211136 |
Phone Number: | 5163191274 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 12/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 2494051 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |