Provider Demographics
NPI:1043504236
Name:SALEM, ABDELRAHMAN (DPT)
Entity type:Individual
Prefix:DR
First Name:ABDELRAHMAN
Middle Name:
Last Name:SALEM
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2657 BATCHELDER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1601
Mailing Address - Country:US
Mailing Address - Phone:171-874-8326
Mailing Address - Fax:
Practice Address - Street 1:2657 BATCHELDER ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1601
Practice Address - Country:US
Practice Address - Phone:171-874-8326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-05
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025590-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist