Basic Information
| Provider Information | |||||||||
| NPI: | 1396141420 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALAM | ||||||||
| FirstName: | SALMA | ||||||||
| MiddleName: | |||||||||
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| OtherOrganizationName: | |||||||||
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| OtherLastName: | AKHTER | ||||||||
| OtherFirstName: | SALMA | ||||||||
| OtherMiddleName: | |||||||||
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| OtherCredential: | M.D | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2 DUNHILL RD | ||||||||
| Address2: | |||||||||
| City: | MANHASSET HILLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110402217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3478491897 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8268 164TH ST | ||||||||
| Address2: | |||||||||
| City: | JAMAICA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 114321104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188833000 | ||||||||
| FaxNumber: | 7188836172 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/18/2014 | ||||||||
| LastUpdateDate: | 02/11/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 281441 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.