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Organization

ISLAND MUSCULOSKELETAL CARE MD PC

Active
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Organization

ISLAND MUSCULOSKELETAL CARE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRY DOUGLAS JUPITER MD (PRESIDENT)
(516) 374-6838
Entity
Organization

Contact information

Practice address
3500 NOSTRAND AVE, BROOKLYN, NY 11229-5107
(718) 332-3600
(718) 332-3856
Mailing address
PO BOX 360, HEWLETT, NY 11557-0360
(516) 374-6838
(516) 374-2362

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
207X00000X
Orthopaedic Surgery Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician
2085R0202X
Diagnostic Radiology Physician
225100000X
Physical Therapist
363A00000X
Physician Assistant

Other

Enumeration date
08/07/2020
Last updated
08/07/2020
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