Provider Demographics
NPI:1710972674
Name:SALEM, ASHRAF (MD)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:
Last Name:SALEM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2152 RALPH AVE # 637
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5406
Mailing Address - Country:US
Mailing Address - Phone:212-920-9212
Mailing Address - Fax:718-701-5744
Practice Address - Street 1:240 E 93RD ST APT 8H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3765
Practice Address - Country:US
Practice Address - Phone:212-920-9212
Practice Address - Fax:718-701-5744
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2022-05-19
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Provider Licenses
StateLicense IDTaxonomies
NY224755-1208VP0014X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02416131Medicaid
NY02416131Medicaid