Organization
ISLAND WIDE MEDICAL CARE PLLC
Active
Organization
ISLAND WIDE MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK SUPPA DO (OWNER)
(516) 636-5021
Entity
Organization
Contact information
Practice address
616 BROADWAY, MASSAPEQUA, NY 11758-5024
(516) 636-5021
(516) 636-5023
Mailing address
138 MAIN ST # 1009, EAST ROCKAWAY, NY 11518-1702
(516) 636-5021
(516) 636-5023
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/11/2023
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