Provider Demographics
NPI:1548584980
Name:SALEH, TAREK M (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TAREK
Middle Name:M
Last Name:SALEH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720100
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-0100
Mailing Address - Country:US
Mailing Address - Phone:917-582-5714
Mailing Address - Fax:914-965-1002
Practice Address - Street 1:314 S BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2049
Practice Address - Country:US
Practice Address - Phone:914-965-1000
Practice Address - Fax:914-965-1002
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-14
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051603183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist