Provider Demographics
NPI:1366272635
Name:SHERIF MEDICAL PC
Entity type:Organization
Organization Name:SHERIF MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:
Authorized Official - Last Name:EL SALAWY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-775-8717
Mailing Address - Street 1:2965 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8014
Mailing Address - Country:US
Mailing Address - Phone:718-775-8717
Mailing Address - Fax:718-646-1712
Practice Address - Street 1:2965 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8014
Practice Address - Country:US
Practice Address - Phone:718-775-8717
Practice Address - Fax:718-646-1712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty