Provider Demographics
NPI:1033671979
Name:PALOMA SALAM OD P.C.
Entity Type:Organization
Organization Name:PALOMA SALAM OD P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PALOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:518-399-6368
Mailing Address - Street 1:9 GLEASON RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12302-5307
Mailing Address - Country:US
Mailing Address - Phone:917-604-0219
Mailing Address - Fax:
Practice Address - Street 1:9 GLEASON RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12302-5307
Practice Address - Country:US
Practice Address - Phone:518-399-6368
Practice Address - Fax:518-399-6372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty