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Contact Information

SALIM A MATAR, MD
640 BELLE TERRE RD
BUILDING C
PORT JEFFERSON, NY11777-1936
 Phone: 631-928-7750
 Fax: 631-928-7867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SALIM A MATAR · (Male)

NPI # 1609891571
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 191264
Hospital affiliation(s)
  • 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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