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“Sports Medicine (physical Medicine & Rehabilitation) Physician” (Islandia, NY)

Location: Islandia, NY
Taxonomy: Sports Medicine (physical Medicine & Rehabilitation) Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1053577312 — DR. JORDAN SUDBERG M.D
Practice Location Address:
1717 VETERANS MEMORIAL HWY STE 1
ISLANDIA NY
11749-1532
Practice Phone: 631-203-4300
1467134684 — 1717 MEDICAL PC
Practice Location Address:
1717 VETERANS MEMORIAL HWY STE 1
ISLANDIA NY
11749-1532
Practice Phone: 631-203-4300

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