Individual
M HANI SALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Enumeration date
08/05/2006
Last updated
11/15/2025
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