Organization
ISLAND MUSCULOSKELETAL CARE MD PC
Active
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
10825 JAMAICA AVE, RICHMOND HILL, NY 11418-2243
(516) 374-6838
(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
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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