Island Musculoskeletal Care, .d., P.c.

NPI #1326150707 in Deer Park, New York

Provider Information

NPI Number: 1326150707
Entity Type: Organization
Organization Name: Island Musculoskeletal Care, .d., P.c.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 31, 2006
Last Updated: Jan 8, 2010

Practice Location

Address: 1993 DEER PARK AVE
City: Deer Park
State: New York
ZIP Code: 11729-2719
Phone: (631) 242-8171

Authorized Official

Name: DR. BARRY D JUPITER
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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