| South Island Medical Care Pc | |
|
801 Gazzola Dr East Patchogue NY 11772-4900 | |
| (631) 972-8109 | |
| Not Available |
| Full Name | South Island Medical Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 801 Gazzola Dr, East Patchogue, New York |
| Authorized Official Name and Position | M Hani Salam (PRESIDENT) |
| Authorized Official Contact | 6319728109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Island Medical Care Pc Po Box 846 East Setauket NY 11733-0656 Ph: (631) 972-8109 | South Island Medical Care Pc 801 Gazzola Dr East Patchogue NY 11772-4900 Ph: (631) 972-8109 |
| NPI Number | 1306841911 |
|---|---|
| Provider Enumeration Date | 06/20/2005 |
| Last Update Date | 11/15/2025 |
| Medicare PECOS PAC ID | 5294625661 |
|---|---|
| Medicare Enrollment ID | O20040318000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306841911 | NPI | - | NPPES |
| 5081A1 | Other | NY | EMPIRE BC/BS |
| 9569338 | Other | NY | CIGNA |
| 01770227 | Medicaid | NY | |
| 640938 | Other | NY | HEALTHCARE PARTNERS IPA |
| 7082351 | Other | NY | AETNA |
| 080186021 | Other | NY | RAILROAD MEDICARE |
| P2666424 | Other | NY | OXFORD |
| 115904 | Other | NY | VYTRA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 207811 (New York) | Primary |
| Provider Name | M Hani Salam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427067644 PECOS PAC ID: 4284626094 Enrollment ID: I20040401000471 |
| Provider Name | Maureen F Nofi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083868004 PECOS PAC ID: 2365694072 Enrollment ID: I20121204000032 |
| Provider Name | Lisa Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487216743 PECOS PAC ID: 3779814306 Enrollment ID: I20191014001632 |
Brookhaven Physician Services, P. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Suite 203, East Patchogue, NY 11772 Phone: 631-475-6900 | |
R&t Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 285 Sills Rd, Bldg 10, Suite D, East Patchogue, NY 11772 Phone: 631-438-0777 Fax: 631-438-0770 | |
Mitul R. Patel M.d. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Patchogue Yaphank Rd, Suite 7, East Patchogue, NY 11772 Phone: 631-289-0900 Fax: 631-758-2542 | |
Anthony N. Donatelli Jr Md., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Suite 200, East Patchogue, NY 11772 Phone: 631-730-0406 | |
Brookhaven Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Suite 201, East Patchogue, NY 11772 Phone: 631-447-1030 | |
Mikhail Grzhibek, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 285 Sills Rd Bldg 4, Suite D, East Patchogue, NY 11772 Phone: 631-654-1800 Fax: 631-240-9181 |