NPI Provider: 1306841911
Contact Name: SALAM M HANI
Position: PRESIDENT/ SOLO PRACTICE
Phone: (631) 447-8860
South Island Medical Care Pc Information:
South Island Medical Care Pc organization have npi 1306841911, taxonomy code is 207Q00000X with license number is 207811 in . This Business address located in 76 Southaven Ave, Medford, NY 11763 New York.
Practice Location
Address: 76 Southaven Ave, Medford, NY 11763
Phone: (631) 447-8860
Business Location
Address: 76 Southaven Ave, Medford, NY 11763
Phone: (631) 447-8860
Fax: (631) 447-8862
Taxonomy
Taxonomy Code: 207Q00000X
License Number: 207811
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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