Physician Compare National (NPI:1316104086)

HEALTHCARE PROVIDER: MICHAEL SALAMATBAD D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1316104086
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274683388
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090611000403
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SALAMATBAD
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	OSTEOPATHIC MANIPULATIVE MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	OSTEOPATHIC MANIPULATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	615 B MIDDLE NECK RD
	Group Practice or individual's line 1 address
City	GREAT NECK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	110231216
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330106
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330182
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST FRANCIS HOSPITAL - THE HEART CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y