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Organization
SOUTH ISLAND MEDICAL CARE PC
Active
Organization
SOUTH ISLAND MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M HANI SALAM MD (PRESIDENT)
(631) 972-8109
Entity
Organization
Contact information
Practice address
801 GAZZOLA DR, EAST PATCHOGUE, NY 11772-4900
(631) 972-8109
Mailing address
PO BOX 846, EAST SETAUKET, NY 11733-0656
(631) 972-8109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01770227
—
NY
01
—
080186021
RAILROAD MEDICARE
NY
01
—
115904
VYTRA
NY
01
—
5081A1
EMPIRE BC/BS
NY
01
—
640938
HEALTHCARE PARTNERS IPA
NY
01
—
7082351
AETNA
NY
01
—
9569338
CIGNA
NY
01
—
P2666424
OXFORD
NY
Enumeration date
06/20/2005
Last updated
11/15/2025
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