Provider Demographics
NPI:1871922575
Name:SHERIF EL-SALAWY MEDICAL. P.C
Entity type:Organization
Organization Name:SHERIF EL-SALAWY MEDICAL. P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:M
Authorized Official - Last Name:EL-SALAWY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-514-5211
Mailing Address - Street 1:239 COURT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-6592
Mailing Address - Country:US
Mailing Address - Phone:352-514-5211
Mailing Address - Fax:718-228-6485
Practice Address - Street 1:1491 BROADWAY
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-4237
Practice Address - Country:US
Practice Address - Phone:718-213-1305
Practice Address - Fax:718-708-6565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272366207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU25172Medicare PIN