1717 Medical PC
NPI #1467134684 in Islandia, New York
Provider Information
- NPI Number
- 1467134684
- Entity Type
- Organization
- Organization Name
- 1717 Medical PC
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Enumeration Date
- Aug 7, 2023
- Last Updated
- Aug 7, 2023
Practice Location
Authorized Official
- Name
- DR. JORDAN SUDBERG, MD
- Title
- OWNER
- Phone
- (631) 482-2754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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