Provider Demographics
NPI:1871357947
Name:SALEH, ELI (MD, MSC, FRCSC)
Entity type:Individual
Prefix:DR
First Name:ELI
Middle Name:
Last Name:SALEH
Suffix:
Gender:M
Credentials:MD, MSC, FRCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5624 PINEDALE
Mailing Address - Street 2:
Mailing Address - City:COTE SAINT LUC
Mailing Address - State:QC
Mailing Address - Zip Code:H4V2X9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 E 77TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075
Practice Address - Country:US
Practice Address - Phone:530-400-1559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2024-10-16
Deactivation Date:2024-09-12
Deactivation Code:
Reactivation Date:2024-10-16
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program