Salem Medical Office PC

NPI #1912199613 in Flushing, New York

Provider Information

NPI Number: 1912199613
Entity Type: Organization
Organization Name: Salem Medical Office PC
Primary Specialty: Specialist
Enumeration Date: Aug 16, 2007
Last Updated: Aug 16, 2007

Practice Location

Address: 15615 35TH AVE
City: Flushing
State: New York
ZIP Code: 11354-5015
Phone: (718) 463-6134

Authorized Official

Name: DR. CHUNG KI HA, M.D.
Title: PRESIDENT
Phone: (718) 463-6134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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