Provider Demographics
NPI:1225203367
Name:SALEEM, USMAN (MD, MSPT)
Entity Type:Individual
Prefix:DR
First Name:USMAN
Middle Name:
Last Name:SALEEM
Suffix:
Gender:M
Credentials:MD, MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25020 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-2149
Mailing Address - Country:US
Mailing Address - Phone:718-343-0474
Mailing Address - Fax:718-962-2818
Practice Address - Street 1:25020 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-2149
Practice Address - Country:US
Practice Address - Phone:718-343-0474
Practice Address - Fax:718-962-2818
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255197207L00000X, 207LP2900X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program