Island Musculoskeletal Care MD PC

NPI #1063524197 in Hewlett, New York

Provider Information

NPI Number: 1063524197
Entity Type: Organization
Organization Name: Island Musculoskeletal Care MD PC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 31, 2006
Last Updated: Jan 8, 2010

Practice Location

Address: 1512 BROADWAY
Address 2: ISLAND MUSCULOSKELETAL CARE MD PC
City: Hewlett
State: New York
ZIP Code: 11557-9998
Phone: (516) 374-6838

Authorized Official

Name: DR. BARRY D JUPITER, MD
Title: PRESIDENT
Phone: (516) 374-6838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Physical Medicine & Rehabilitation	208100000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Physical Therapist	225100000X
Orthopaedic Surgery	207X00000X	Primary

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