Provider Demographics
NPI:1871542753
Name:COUNTY OF ROCKLAND, DEPARTMENT OF HEALTH
Entity type:Organization
Organization Name:COUNTY OF ROCKLAND, DEPARTMENT OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NABILA
Authorized Official - Middle Name:F
Authorized Official - Last Name:SALAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-358-2151
Mailing Address - Street 1:1 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-4715
Mailing Address - Country:US
Mailing Address - Phone:845-358-2151
Mailing Address - Fax:845-358-2158
Practice Address - Street 1:COUNTY OF ROCKLAND, DEPARTMENT OF HEALTH
Practice Address - Street 2:50 SANATORIUM ROAD, BUILDING D
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970
Practice Address - Country:US
Practice Address - Phone:845-364-2512
Practice Address - Fax:845-364-2628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY157653-1302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01429125Medicaid
NY01429125Medicaid