Provider Demographics
NPI:1538423116
Name:EL SABBAGH, SALIM (MD)
Entity type:Individual
Prefix:
First Name:SALIM
Middle Name:
Last Name:EL SABBAGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WARDS IS
Mailing Address - Street 2:MANHATTAN PSYCHIATRIC CENTER - OFFICE OF MENTAL HEALTH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-6002
Mailing Address - Country:US
Mailing Address - Phone:646-672-6007
Mailing Address - Fax:646-672-6386
Practice Address - Street 1:1 WARDS IS
Practice Address - Street 2:MANHATTAN PSYCHIATRIC CENTER - OFFICE OF MENTAL HEALTH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-6002
Practice Address - Country:US
Practice Address - Phone:646-672-6007
Practice Address - Fax:646-672-6386
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC350012084P0800X
NY284106-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry