M Hani Salam (NPI# 1427067644, PAC ID# 4284626094) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1427067644 |
PAC ID by PECOS | 4284626094 |
Professional Enrollment ID | I20040401000471 |
Full Name | M Hani Salam |
Address |
76 Southaven Ave Suite 5 Medford NY 11763-3745 |
Gender | M |
Credential | MD |
Graduation Year | 1981 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
330195 | NS/LIJ HS LONG ISLAND JEWISH MEDICAL CENTER |
330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
76 Southaven Ave, Suite 5, Medford, NY 11763-3745 |
Street Address |
76 SOUTHAVEN AVE SUITE 5 |
City | MEDFORD |
State | NY |
Zip | 11763-3745 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily F Chappell | Clinical Social Worker | 3239 Route 112 5, Medford, NY 11763-1432 | |
Raj D Tolat | Physical Medicine and Rehabilitation | 2920 Route 112, Medford, NY 11763-1451 | |
Isaac J Alamuri | Family Medicine | 23 Bloomington St, Medford, NY 11763-1579 | |
Sang H Song | Physical Medicine and Rehabilitation | 700 Patchogue Yaphank Rd, Suite 49, Medford, NY 11763-2239 | |
Muhammad Imran | Physical Therapy | 700 Patchogue Yaphank Rd, Suite 49, Medford, NY 11763-2239 | |
Jennifer L Wellman | Occupational Therapy | Home Advantage Occupational Therapy, P.C. | 12 Platinum Court, Medford, NY 11763-2247 |
Cydney E Taylor | Physician Assistant | Prince Medicine PC | 12 Platinum Ct, Medford, NY 11763-2247 |
Randy Lee Parr | Physician Assistant | Prince Medicine PC | 12 Platinum Ct, Medford, NY 11763-2247 |
Scott Richard Lindsay | Physical Therapy | Evolution Home Physical Therapy, P.C. | 12 Platinum Ct, Medford, NY 11763-2247 |
David Nieves | Physical Therapy | Evolution Home Physical Therapy, P.C. | 12 Platinum Ct, Medford, NY 11763-2247 |
Find all physicians in zip 11763 |
City | MEDFORD |
Zip Code | 11763 |
Specialty | FAMILY MEDICINE |
City + Specialty | MEDFORD + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.