Provider Demographics
NPI:1558051417
Name:SALAAM, ARI (LCAT, R-DMT, CA, RYT)
Entity Type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:SALAAM
Suffix:
Gender:M
Credentials:LCAT, R-DMT, CA, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6402
Mailing Address - Country:US
Mailing Address - Phone:929-656-2781
Mailing Address - Fax:
Practice Address - Street 1:419 E 86TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6402
Practice Address - Country:US
Practice Address - Phone:212-845-3821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002820225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist