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NPI Code Detail

MEDICARE: ISLAND MUSCULOSKELETAL CARE, M.D., P.C

MEDICARE: ISLAND MUSCULOSKELETAL CARE, M.D., P.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorNY
2207X00000XOrthopaedic Surgery PhysicianNY
3208100000XPhysical Medicine & Rehabilitation PhysicianNY
42084N0400XNeurology PhysicianNY
52085R0202XDiagnostic Radiology PhysicianNY
6225100000XPhysical TherapistNY

General Provider Information

NPI Number : 1851452023
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISLAND MUSCULOSKELETAL CARE, M.D., P.C
Provider Business Mailing Address
First Line : PO BOX 360
Second Line :
City : HEWLETT
State : NY
Zip : 11557-9998
Country : US
Telephone Number : 516-374-6838
Fax Number : 516-374-2362
Provider Business Practice Location Address
First Line : 22414 MERRICK BLVD
Second Line :
City : LAURELTON
State : NY
Zip : 11413-2023
Country : US
Telephone Number : 718-850-6577
Fax Number : 718-850-6581
Authorized Official
Title or Position : MD
Name : BARRY D JUPITER
Credential :
Telephone Number : 516-374-6838
Provider Enumeration Date : 12/12/2006
Last Update Date : 09/11/2025

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Directions to “ISLAND MUSCULOSKELETAL CARE, M.D., P.C ” Practice Location

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