Provider Demographics
NPI:1609052612
Name:SALAMY, JOSEPH GEORGE (PHD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:GEORGE
Last Name:SALAMY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8653 DEERING BAY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-1757
Mailing Address - Country:US
Mailing Address - Phone:702-480-3562
Mailing Address - Fax:702-363-4769
Practice Address - Street 1:8653 DEERING BAY DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-1757
Practice Address - Country:US
Practice Address - Phone:702-480-3562
Practice Address - Fax:702-363-4769
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV#26 ABNM246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other