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ISLAND RHEUMATOLOGY AND OSTEOPOROSIS PC NPI 1386158764


NPI Information

NPI: 1386158764
Provider Name: ISLAND RHEUMATOLOGY AND OSTEOPOROSIS, PC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
6144 ROUTE 25A STE 13
WADING RIVER, NY
ZIP 11792
Phone: (631) 886-2488
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ISLAND RHEUMATOLOGY AND OSTEOPOROSIS, PC is a rheumatology internal medicine in Wading River, NY. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. ISLAND RHEUMATOLOGY AND OSTEOPOROSIS, PC NPI is 1386158764. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6144 ROUTE 25A STE 13
WADING RIVER, NY
ZIP 11792
Phone: (631) 886-2488

The provider's authorized official is Sanjay Godhwani .
The authorized official title is Rheumatologist/medical Director and has the following contact phone number (631) 886-2844.

The enumeration date for this NPI number is 11/22/2017 and was last updated on 6/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103497523MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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