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Contact Information

M HANI SALAM, MD
801 GAZZOLA DR
EAST PATCHOGUE, NY11772-4900
 Phone: 631-972-8109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for M HANI SALAM · (Male)

NPI # 1427067644
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 11/15/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 207811
  • NY Medicaid 01770227
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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