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Organization

ISLAND MUSCULOSKELETAL CARE, MD, PC

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
485 N OCEAN AVE, PATCHOGUE, NY 11772-1762
(631) 475-0353
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
Primary
NY
208100000X
Physical Medicine & Rehabilitation Physician
NY
2084N0400X
Neurology Physician
NY
2085R0202X
Diagnostic Radiology Physician
NY
225100000X
Physical Therapist
NY

Other

Enumeration date
09/11/2007
Last updated
10/27/2007
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