OrganizationActive
John T. Mather Memorial Hospital
NPI 1285920231 · Neuromusculoskeletal Medicine & OMM Physician · Port Jefferson, NY
Provider details
- NPI number
- 1285920231
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Wisnoski, Cfo(631) 473-1320
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 473-1320
Approximate (ZIP-level) locationGet directions
Mailing address
625 Belle Terre Rd
Port Jefferson, NY 11777-2316
Registry dates
- Enumerated
- 2011-06-28
- Last updated
- 2011-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.