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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
DR. BARRY D JUPITER MD (PRESIDENT)
(516) 374-6838
Entity
Organization

Contact information

Practice address
393 SUNRISE HWY, WEST BABYLON, NY 11704-5909
(631) 281-1890
(631) 281-2090
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
2085R0202X
Diagnostic Radiology Physician
NY
225100000X
Physical Therapist
NY

Other

Enumeration date
03/14/2012
Last updated
03/14/2012
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