Eastern Island Medical Care Pc in Brentwood - Neuromusculoskeletal Medicine, Sports Medicine
Eastern Island Medical Care Pc - NPI 1366484750
Eastern Island Medical Care Pc is a Neuromusculoskeletal Medicine, Sports Medicine in Brentwood, New York. Eastern Island Medical Care Pc practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Eastern Island Medical Care Pc is 1366484750. The last update date is 2011-10-19.
Eastern Island Medical Care Pc's current location address is 1646 Brentwood Rd, Brentwood, New York. You can contact this provider via phone number 6312315200 and fax number 6312314431. The mailing address for Eastern Island Medical Care Pc is 1646 Brentwood Rd, Brentwood, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastern Island Medical Care Pc |
|---|---|
| Address | 1646 Brentwood Rd, Brentwood, New York |
| Phone Number | 6312315200 |
| Fax Number | 6312314431 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Roteman Scott |
| Credentials | M.D. |
| Telephone Number | 6312315200 |
NPI Number Detail
| NPI Number | 1366484750 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2011-10-19 |
Provider Mailing Address Detail
| Address | 1646 Brentwood Rd |
|---|---|
| City | Brentwood |
| State | New York (NY) |
| Post Code | 117175534 |
| Phone Number | 6312315200 |
| Fax Number | 6312314431 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | 173040 |
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Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
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What is the unique 10-digit identifier code issued to Eastern Island Medical Care Pc by the Centers for Medicare & Medicaid Services?
The Eastern Island Medical Care Pc has been assigned the NPI (National Provider Identifier) 1366484750 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Eastern Island Medical Care Pc?
The Eastern Island Medical Care Pc is situated at 1646 Brentwood Rd, in the city of Brentwood, state of NY, with the zip code 117175534.
What is Eastern Island Medical Care Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eastern Island Medical Care Pc is Neuromusculoskeletal Medicine, Sports Medicine, and the taxonomy code that classifies this field of practice is 204C00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366484750 to Eastern Island Medical Care Pc?
The Centers for Medicare & Medicaid Services assigned the 1366484750 to Eastern Island Medical Care Pc on 2006-06-12.
As of what date was the information regarding Eastern Island Medical Care Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eastern Island Medical Care Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-19.