1717 Medical PC
1717 Medical PC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Islandia, New York. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1717 Veterans Memorial Hwy Ste 1Islandia, NY 11749-1532
Phone: (631) 203-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X |
|---|
Record details
| NPI number | 1467134684 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jordan Sudberg — Owner · (631) 482-2754 |
| NPI enumerated | August 7, 2023 |
| Last updated in NPPES | August 7, 2023 |
| Certification date | August 7, 2023 |
| Mailing address | 1717 Veterans Memorial Hwy Ste 1, Islandia, NY 11749-1532 |
Other providers in Islandia
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Dr. Jordan Sudberg, MD
1717 Veterans Memorial Hwy Ste 1, Islandia, NY 11749-1532 · (631) 203-4300