Organization
ISLAND SOUTH PHYSICAL MEDICINE & REHAB, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSPEH GEORGE GREGORACE DO (MEDICAL DIRECTOR)
(516) 221-9640
Entity
Organization
Contact information
Practice address
2570 MERRICK RD, BELLMORE, NY 11710-5709
(516) 221-9640
(516) 221-6810
Mailing address
114 WHITNEY ST, WESTBURY, NY 11590-1831
(516) 333-1452
(516) 876-1038
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
198594
NY
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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