Saleh a Fetouh, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

132008 Issued in NY

Legal business name

SALEH A FETOUH, PC

Doing business as

Breast Screening Center of Western New York

Practice address

2828 Main St
Buffalo, NY 14214-1722

Phone

(716) 838-1300

Fax

(716) 837-7725

NPI assigned

Dec 22, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Saleh A Fetouh, M.D.

Title

President

Phone

(716) 838-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Breast Screening Center of Western New York Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1700284924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141722",
            "telephone_number": "716-838-1300",
            "fax_number": "716-837-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141722",
            "telephone_number": "716-838-1300",
            "fax_number": "716-837-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEH A FETOUH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "FETOUH",
        "authorized_official_first_name": "SALEH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-838-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "132008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00610724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breast Screening Center of Western New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Saldana, FNP
• Yveth Roxana Saldarriaga, LMSW
• Kalynn Mizhelle Salder, BA
• Osman Saleem, M.D.
• Maryam Saleemi, M.D.
• Saleh a. Fetouh, M.D., PC
• Julian Saleh
• Mariam Jamal Saleh, LICENSED MASTER SOCI
• Marjorie M Saleh, PT, DPT
• Sharese L Saleh, MHC

• Specialist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.