Provider Demographics
NPI:1275528598
Name:SALIFU, MORO O (MD)
Entity Type:Individual
Prefix:DR
First Name:MORO
Middle Name:O
Last Name:SALIFU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:450 CLARKSON AVE
Mailing Address - Street 2:BOX 52
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2056
Mailing Address - Country:US
Mailing Address - Phone:718-270-1584
Mailing Address - Fax:718-270-3327
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:BOX 52
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:718-270-1584
Practice Address - Fax:718-270-3327
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2015-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY239060207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02242900Medicaid
NYH46573Medicare UPIN
NY012AZ1Medicare PIN