Provider Demographics
NPI:1407649817
Name:SALAMA MOHAMED SALAMA, CONY V (RN)
Entity type:Individual
Prefix:
First Name:CONY
Middle Name:V
Last Name:SALAMA MOHAMED SALAMA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-1911
Mailing Address - Country:US
Mailing Address - Phone:212-376-6573
Mailing Address - Fax:
Practice Address - Street 1:285 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-1911
Practice Address - Country:US
Practice Address - Phone:212-376-6573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY698105163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool