Whalio Doctors

NPI 1366484750

Eastern Island Medical Care PC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Brentwood, NY

Practice location

Address
1646 Brentwood Rd, Brentwood, NY 11717-5534
Phone
(631) 231-5200
Fax
(631) 231-4431

Authorised official

Name
Scott Roteman
Title
Medical Director/Owner
Phone
(631) 231-5200

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 173040 (NY)

Registry record

NPI
1366484750
Entity type
Organization
NPI issued
12 Jun 2006
Record last updated
19 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.