Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Salem El Mizzawi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871077610

Mr. Salem El Mizzawi is a Physician Assistant in Poughkeepsie, New York. Qualified in 2018, 8 years ago. Practices with Victory Medical Associates PC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

45 Reade Pl
Poughkeepsie, NY 12601-3947
Phone: (845) 454-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 356 W 125th St, New York, NY 10027-4820 — (646) 647-1267

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022976 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871077610
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESSeptember 19, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Victory Medical Associates Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Poughkeepsie