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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124027750 NPPES
New Jersey Other 25MA08564600 NEW JERSEY LICENSE
New Jersey Other 134798 NEW JERSEY LICENSE

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