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Organization
ISLAND MUSCULOSKELETAL CARE, M.D., P.C.
Active
Organization
ISLAND MUSCULOSKELETAL CARE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY D JUPITER MD (PRESIDENT)
(516) 374-6838
Entity
Organization
Contact information
Practice address
105 MEDFORD AVE, PATCHOGUE, NY 11772-1201
(631) 475-0353
(516) 374-2362
Mailing address
PO BOX 360, HEWLETT, NY 11557-0360
(516) 374-6838
(516) 374-2362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NY
207X00000X
Orthopaedic Surgery Physician
—
NY
208100000X
Physical Medicine & Rehabilitation Physician
—
NY
2084N0400X
Neurology Physician
—
NY
2085R0202X
Diagnostic Radiology Physician
—
NY
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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